Healthcare Provider Details

I. General information

NPI: 1225972110
Provider Name (Legal Business Name): VISTACARE PROFESSIONAL LIMITED LIABILITY COMPANY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28840 FM 1093 RD STE 120
FULSHEAR TX
77441-3601
US

IV. Provider business mailing address

26126 FLINTON DR
RICHMOND TX
77406-2565
US

V. Phone/Fax

Practice location:
  • Phone: 281-829-8415
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. GLORIA LAWS
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 713-340-6815