Healthcare Provider Details

I. General information

NPI: 1144893942
Provider Name (Legal Business Name): INVICTUS HEALTH PARTNERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2021
Last Update Date: 11/09/2023
Certification Date: 11/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7447 HARWIN DR STE 195
HOUSTON TX
77036-2016
US

IV. Provider business mailing address

7447 HARWIN DR STE 195
HOUSTON TX
77036-2016
US

V. Phone/Fax

Practice location:
  • Phone: 281-974-4680
  • Fax:
Mailing address:
  • Phone: 281-974-4680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: JASON PALMER
Title or Position: VP OF BUSINESS DEVELOPMENT
Credential:
Phone: 281-974-4860