Healthcare Provider Details

I. General information

NPI: 1740005149
Provider Name (Legal Business Name): INFINITY PREMIER HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2024
Last Update Date: 11/20/2024
Certification Date: 11/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13630 BEAMER RD STE 109
HOUSTON TX
77089-6038
US

IV. Provider business mailing address

11400 SPACE CENTER BLVD APT 8105
HOUSTON TX
77059-3637
US

V. Phone/Fax

Practice location:
  • Phone: 832-486-9705
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JOHN MANUEL LINARES
Title or Position: OWNER
Credential: NP
Phone: 713-382-0008