MEDICARE: NEXT STEP CLINIC 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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1811336639
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEXT STEP CLINIC LLC

Provider Business Mailing Address
First Line	:	11719 ABBY RIDGE WAY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77044-1814
Country	:	US
Telephone Number	:	832-638-2216
Fax Number	:	281-888-6518

Provider Business Practice Location Address
First Line	:	4615 NORTH FWY
Second Line	:	SUITE 314
City	:	HOUSTON
State	:	TX
Zip	:	77022-2917
Country	:	US
Telephone Number	:	281-888-6488
Fax Number	:	281-888-6518

Authorized Official
Title or Position	:	CEO
Name	:	MR. NOAH RANKIN
Credential	:
Telephone Number	:	832-638-2216

Provider Enumeration Date	:	06/14/2013
Last Update Date	:	06/14/2013

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Directions to “NEXT STEP CLINIC LLC ” Practice Location

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