| The Integrative Health Clinic Llc | |
|
2300 Green Oak Dr Ste 150 Kingwood TX 77339-2038 | |
| (281) 713-0939 | |
| Not Available |
| Full Name | The Integrative Health Clinic Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2300 Green Oak Dr Ste 150, Kingwood, Texas |
| Authorized Official Name and Position | Vickie Mabile (OWNER) |
| Authorized Official Contact | 2259368961 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Integrative Health Clinic Llc 2300 Green Oak Dr Ste 150 Kingwood TX 77339-2038 Ph: (281) 713-0939 | The Integrative Health Clinic Llc 2300 Green Oak Dr Ste 150 Kingwood TX 77339-2038 Ph: (281) 713-0939 |
| NPI Number | 1366914590 |
|---|---|
| Provider Enumeration Date | 12/28/2018 |
| Last Update Date | 12/28/2018 |
| Medicare PECOS PAC ID | 7012256621 |
|---|---|
| Medicare Enrollment ID | O20190226001877 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366914590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Maryam Margaret Qayum |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1497814966 PECOS PAC ID: 0749258119 Enrollment ID: I20040923000044 |
| Provider Name | Vickie A Mabile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326081522 PECOS PAC ID: 6204929706 Enrollment ID: I20190226001954 |
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