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NPI Code Detail

MEDICARE: MED CURE CLINIC LLC

MEDICARE: MED CURE CLINIC LLC
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
1261QA0005XAmbulatory Family Planning Facility
2261QF0400XFederally Qualified Health Center (FQHC)
3261Q00000XClinic/Center

General Provider Information

NPI Number : 1912517426
Entity Type Code : Organization
Provider Name (Legal Business Name) : MED CURE CLINIC LLC
Provider Business Mailing Address
First Line : 6237 HIGHWAY 6 S STE C
Second Line :
City : HOUSTON
State : TX
Zip : 77083-1681
Country : US
Telephone Number : 832-400-2048
Fax Number : 832-400-2049
Provider Business Practice Location Address
First Line : 6237 HIGHWAY 6 S STE C
Second Line :
City : HOUSTON
State : TX
Zip : 77083-1681
Country : US
Telephone Number : 832-400-2048
Fax Number : 832-400-2049
Authorized Official
Title or Position : DIRECTOR
Name : DEBORAH YISA
Credential : FNP-BC
Telephone Number : 346-220-3534
Provider Enumeration Date : 08/10/2020
Last Update Date : 12/17/2024

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Directions to “MED CURE CLINIC LLC ” Practice Location

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