MEDICARE: NEEDLE LITTLE CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1093594574
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEEDLE LITTLE CARE LLC

Provider Business Mailing Address
First Line	:	13165 W LAKE HOUSTON PKWY # 229
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77044-5391
Country	:	US
Telephone Number	:	281-713-5113
Fax Number	:

Provider Business Practice Location Address
First Line	:	3838 N SAM HOUSTON PKWY E STE 325
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77032-3400
Country	:	US
Telephone Number	:	281-713-5113
Fax Number	:

Authorized Official
Title or Position	:	NURSE PRACTIONER
Name	:	NATASSIA CLEAVES
Credential	:
Telephone Number	:	901-921-0798

Provider Enumeration Date	:	09/25/2023
Last Update Date	:	09/25/2023

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Directions to “NEEDLE LITTLE CARE LLC ” Practice Location

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