Healthcare Provider Details

I. General information

NPI: 1982179602
Provider Name (Legal Business Name): SPRING CENTER OF HOPE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2018
Last Update Date: 10/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20008 CHAMPION FOREST DR STE 1202
SPRING TX
77379-8697
US

IV. Provider business mailing address

17211 CHAGALL LN
SPRING TX
77379-6273
US

V. Phone/Fax

Practice location:
  • Phone: 832-559-7310
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. CINDY VAN PRAAG
Title or Position: OWNER
Credential: MD
Phone: 832-559-7310