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General NPI Number Information
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NPI Number | 1609584937
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Entity Type | Organization
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Legal Business Name | SOL CARE CLINIC LLC
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Dates
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Enumeration Date | 11/07/2022
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Last Update Date | 11/15/2022
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Provider Practice Location Address
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Address Line | 6720 BERTNER AVE
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City | HOUSTON
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State | TX
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Zip | 77030-2604
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Country | US
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Telephone | 832-779-0963
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Fax |
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Provider Business Mailing Address
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Address Line | 11070 KATY FWY APT 1187
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City | HOUSTON
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State | TX
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Zip | 77043-4760
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Country | US
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Telephone | 281-948-2308
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | YVONNE OGHENERUONA AMUNE
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Credential | PMHNP
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Telephone | 346-247-6143
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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