TOTAL HEALTH CLINIC INC NPI 1033168968

NPI Information

NPI: 1033168968
Provider Name: TOTAL HEALTH CLINIC INC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
4611 S MAIN ST
STE. #7
STAFFORD, TX
ZIP 77477
Phone: (281) 277-8396
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TOTAL HEALTH CLINIC INC is a general practice in Stafford, TX. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee TOTAL HEALTH CLINIC INC NPI is 1033168968. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4611 S MAIN ST
STE. #7
STAFFORD, TX
ZIP 77477-731
Phone: (281) 277-8396
Fax: (281) 313-0590

The provider's authorized official is John Anthony Woods .
The authorized official title is Executive Director and has the following contact phone number (281) 277-8396.

The enumeration date for this NPI number is 5/8/2006 and was last updated on 11/14/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1041C0700X	Social Worker	Clinical	15405	TEXAS	No
2	208VP0014X	Pain Medicine	Interventional Pain Medicine	C4177	TEXAS	No
3	208D00000X	General Practice		C4177	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	C18511	MEDICARE UPIN	TEXAS
2	1685075	MEDICAID	TEXAS
3	00798W	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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