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General NPI Number Information
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NPI Number | 1154894822
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Entity Type | Organization
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Legal Business Name | ADA FAMILY HEALTH CLINIC PLLC
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Dates
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Enumeration Date | 01/05/2019
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 8191 SOUTHWEST FWY STE 101
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City | HOUSTON
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State | TX
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Zip | 77074-1700
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Country | US
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Telephone | 832-669-9409
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Fax | 832-669-9410
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Provider Business Mailing Address
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Address Line | 8191 SOUTHWEST FWY STE 101
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City | HOUSTON
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State | TX
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Zip | 77074-1700
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Country | US
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Telephone | 832-669-9409
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Fax | 718-362-1651
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | TASHIBA WILLIAMS
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Credential |
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Telephone | 832-669-9409
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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