MEDICARE: PRECIOUS NMACHI ADASO

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	1108791	TX
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	AP61675370	WA

General Provider Information

NPI Number	:	1366148827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRECIOUS NMACHI ADASO

Provider Business Mailing Address
First Line	:	15500 VOSS RD
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-4603
Country	:	US
Telephone Number	:	832-774-4441
Fax Number	:	832-615-0616

Provider Business Practice Location Address
First Line	:	7447 HARWIN DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-2016
Country	:	US
Telephone Number	:	832-774-4441
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2023
Last Update Date	:	03/23/2026

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Directions to “ PRECIOUS NMACHI ADASO ” Practice Location

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