NORTHEAST HOUSTON ONE MEDICAL GROUP PLLC NPI 1518627918

NPI Information

NPI: 1518627918
Provider Name: NORTHEAST HOUSTON ONE MEDICAL GROUP, PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2665 ROYAL FRST STE B-150
KINGWOOD, TX
ZIP 77339
Phone: (832) 899-5618
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NORTHEAST HOUSTON ONE MEDICAL GROUP, PLLC is a primary care clinic center in Kingwood, TX. NORTHEAST HOUSTON ONE MEDICAL GROUP, PLLC NPI is 1518627918. The provider is registered as an organization entity type.

The provider's business location address is:

2665 ROYAL FRST STE B-150
KINGWOOD, TX
ZIP 77339-045
Phone: (832) 899-5618

The provider's authorized official is Welton Wayne Wilson .
The authorized official title is Manager and has the following contact phone number (281) 429-8526.

The enumeration date for this NPI number is 12/27/2021 and was last updated on 12/27/2021.

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	261QP2300X	Clinic/Center	Primary Care			Yes

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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