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General NPI Number Information
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NPI Number | 1902733587
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Entity Type | Organization
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Legal Business Name | NOVUS MEDICAL CENTER, LLC
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Dates
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Enumeration Date | 05/06/2026
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 7095 HIGHWAY 6 N STE A
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City | HOUSTON
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State | TX
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Zip | 77095-2505
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Country | US
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Telephone | 281-662-3197
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Fax | 281-833-9854
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Provider Business Mailing Address
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Address Line | 7095A HIGHWAY 6 N
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City | HOUSTON
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State | TX
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Zip | 77095-2505
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Country | US
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Telephone | 281-662-3197
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Fax | 281-833-9854
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Authorized Official
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Title or Position | MANAGING MEMBER / CEO
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Name | MIGUEL SUAREZ PORTO
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Credential | PMHNP-BC, FNP-C
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Telephone | 281-662-3197
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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