Healthcare Provider Details

I. General information

NPI: 1639923782
Provider Name (Legal Business Name): PROCURA HEALTH SOLUTIONS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/15/2024
Last Update Date: 04/15/2024
Certification Date: 04/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30805 ANN ARBOR TRL
WESTLAND MI
48185-2482
US

IV. Provider business mailing address

30805 ANN ARBOR TRL
WESTLAND MI
48185-2482
US

V. Phone/Fax

Practice location:
  • Phone: 734-744-7058
  • Fax: 609-388-6333
Mailing address:
  • Phone: 734-744-7058
  • Fax: 609-388-6333

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. RON HILL
Title or Position: CREDENTIALING MANAGER
Credential:
Phone: 202-985-2191