MIRACLE MEDICAL MANAGEMENT INC. NPI 1578148078

NPI Information

NPI: 1578148078
Provider Name: MIRACLE MEDICAL MANAGEMENT INC.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 45D2251719

Address:
20127 IVORY VALLEY LN
CYPRESS, TX
ZIP 77433
Phone: (832) 812-9598
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MIRACLE MEDICAL MANAGEMENT INC. is a primary care clinic center in Cypress, TX. MIRACLE MEDICAL MANAGEMENT INC. NPI is 1578148078. The provider is registered as an organization entity type.

The provider's business location address is:

20127 IVORY VALLEY LN
CYPRESS, TX
ZIP 77433-030
Phone: (832) 812-9598

The provider's authorized official is Barbara Yadira Ortiz Gonzalez .
The authorized official title is Ceo and has the following contact phone number (832) 812-9598.

The CLIA number assigned to this NPI record is 45D2251719 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/16/2021 and was last updated on 6/7/2021.

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	Primary
1	261Q00000X	Clinic/Center		No
2	261QH0100X	Clinic/Center	Health Service	No
3	261QP2300X	Clinic/Center	Primary Care	Yes
4	261QU0200X	Clinic/Center	Urgent Care	No
5	364S00000X	Clinical Nurse Specialist		No

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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