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NPI Code Detail

MEDICARE: INNOVATIVE HEALTH PROFESSIONALS PLLC

MEDICARE: INNOVATIVE HEALTH PROFESSIONALS PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM1300XMulti-Specialty Clinic/Center
2207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1033878988
Entity Type Code : Organization
Provider Name (Legal Business Name) : INNOVATIVE HEALTH PROFESSIONALS PLLC
Provider Business Mailing Address
First Line : 12000 BELLAIRE BLVD STE 140
Second Line :
City : HOUSTON
State : TX
Zip : 77072-2577
Country : US
Telephone Number : 713-437-7114
Fax Number :
Provider Business Practice Location Address
First Line : 12000 BELLAIRE BLVD STE 140
Second Line :
City : HOUSTON
State : TX
Zip : 77072-2577
Country : US
Telephone Number : 832-644-0200
Fax Number :
Authorized Official
Title or Position : CEO
Name : HOANG ANH PHAN
Credential : MD
Telephone Number : 832-644-0200
Provider Enumeration Date : 12/08/2021
Last Update Date : 03/16/2026

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Directions to “INNOVATIVE HEALTH PROFESSIONALS PLLC ” Practice Location

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