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Providence Mission Ministry Llc
Primary Care Clinic/Center in Coldspring, Texas
NPI 1366988412

Providence Mission Ministry Llc is a Primary Care Clinic/Center based in New Caney, TX and is specialized in Primary Care. Providence Mission Ministry Llc practices in Coldspring, TX. The NPI Number for Providence Mission Ministry Llc is 1366988412 and holds a License No. (Texas).

The current practice location address for Providence Mission Ministry Llc is 21 Alpine St, Coldspring, TX and can be reached out via phone at 936-647-2227 and via fax at 936-647-2202.

Location: 21 Alpine St, Coldspring, TX, 77357-1293
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1366988412
Provider Name
Providence Mission Ministry Llc
Credential
Provider Entity Type
Organization
Address
21 Alpine St, Coldspring, TX, 77357-1293
Phone Number
936-647-2227
Fax Number
936-647-2202
Provider Enumeration Date
01/12/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
371798501 05 TX
institution
Provider Business Practice Location Address Details
Address
21 Alpine St
City
Coldspring
State
Texas
Zip
77331-8058
Phone Number
936-647-2227
Fax Number
936-647-2202
person
Provider Business Mailing Address Details
Address
21 Alpine St
City
Coldspring
State
Texas
Zip
77331-8058
Phone Number
936-647-2227
Fax Number
936-647-2202
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
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