MEDICARE: ALTRUISTIC HEARTS HEALTHCARE, 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
1	261QM2500X	Medical Specialty Clinic/Center

General Provider Information

NPI Number	:	1669702338
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALTRUISTIC HEARTS HEALTHCARE, PLLC

Provider Business Mailing Address
First Line	:	23836 HIGHWAY 59 N
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-1531
Country	:	US
Telephone Number	:	281-485-1082
Fax Number	:	281-946-7105

Provider Business Practice Location Address
First Line	:	23836 HIGHWAY 59 N
Second Line	:
City	:	KINGWOOD
State	:	TX
Zip	:	77339-1531
Country	:	US
Telephone Number	:	832-527-6197
Fax Number	:	281-946-7105

Authorized Official
Title or Position	:	CEO
Name	:	REGINALD EARL REED
Credential	:
Telephone Number	:	281-475-1082

Provider Enumeration Date	:	01/01/2010
Last Update Date	:	04/07/2023

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