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Contact Information

INNOVATIVE PRIMARY CARE PLLC
17070 RED OAK DR STE 309
HOUSTON, TX77090-2616
 Phone: 281-207-0461
 Fax: 888-273-0398
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Adolescent Medicine

207RA0000X 11 Physician/Internal Medicine
 

Addiction Medicine

2084A0401X 79 Physician/Addiction Medicine
 

Nutrition, Obesity and Weight Management

133VN1201X 71 Registered Dietitian or Nutrition Professional
 

Obesity Medicine

2083B0002X 84 Physician/Preventive Medicine
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Wound Care

163WW0000X
Indicates primary specialty

NPI Profile & details for INNOVATIVE PRIMARY CARE PLLC · (Female)

NPI Number 1912610353
Status Active
Credentials
Entity Individual
Enumeration date 12/30/2022
Last updated 09/07/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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