institution
Havana Medical Group Corp
Family Nurse Practitioner in Houston, Texas
NPI 1679270623

Havana Medical Group Corp is a Family Nurse Practitioner based in Houston, TX and is specialized in Family. Havana Medical Group Corp practices in Houston, TX. The NPI Number for Havana Medical Group Corp is 1679270623 and holds a License No. (Texas).

The current practice location address for Havana Medical Group Corp is 715 Telephone Rd, Houston, TX and can be reached out via phone at 832-871-4777 and via fax at 832-871-4776.

Location: 715 Telephone Rd, Houston, TX, 77023-3117
institution
Provider Profile Details
NPI Number
1679270623
Provider Name
Havana Medical Group Corp
Credential
Provider Entity Type
Organization
Address
715 Telephone Rd, Houston, TX, 77023-3117
Phone Number
832-871-4777
Fax Number
832-871-4776
Provider Enumeration Date
02/09/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1861628505 01 TX MOLINA
1861628505 05 TX
1861628505 01 AETNA
1861628505 01 TX COMMUNITY HEALTH CHOICE
1861628505 01 TX BLUE CROSS BLUE SHIELD
1861628505 01 TX UNITED HEALTH CARE
institution
Provider Business Practice Location Address Details
Address
715 Telephone Rd
City
State
Zip
77023-3117
Phone Number
832-871-4777
Fax Number
832-871-4776
person
Provider Business Mailing Address Details
Address
715 Telephone Rd
City
State
Zip
77023-3117
Phone Number
832-871-4777
Fax Number
832-871-4776
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
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Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
()
Definition
Definition to come...
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