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NPI Code Detail

MEDICARE: HEALING FROM WITHIN PLLC

MEDICARE: HEALING FROM WITHIN 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
1363LF0000XFamily Nurse Practitioner

General Provider Information

NPI Number : 1184196651
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEALING FROM WITHIN PLLC
Provider Business Mailing Address
First Line : 3604 FAIRMONT PKWY STE A2
Second Line :
City : PASADENA
State : TX
Zip : 77504-3065
Country : US
Telephone Number : 346-219-6263
Fax Number : 713-513-5590
Provider Business Practice Location Address
First Line : 3604 FAIRMONT PKWY STE A2
Second Line :
City : PASADENA
State : TX
Zip : 77504-3065
Country : US
Telephone Number : 346-219-6263
Fax Number : 713-513-5590
Authorized Official
Title or Position : PHYSICIAN/OWNER
Name : MS. MELODY MCCLAIN FNP
Credential : FNP
Telephone Number : 713-870-5393
Provider Enumeration Date : 12/21/2018
Last Update Date : 02/12/2019

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