Healthcare Provider Details

I. General information

NPI: 1407793946
Provider Name (Legal Business Name): ADA FAMILY CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16215 STUEBNER AIRLINE RD
SPRING TX
77379-7325
US

IV. Provider business mailing address

16215 STUEBNER AIRLINE RD
SPRING TX
77379-7325
US

V. Phone/Fax

Practice location:
  • Phone: 281-559-0100
  • Fax: 346-808-5785
Mailing address:
  • Phone: 281-559-0100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MILENA CARBO ALFONSO
Title or Position: NURSE PRACTITIONER
Credential: NP
Phone: 503-512-3015