PROVIDENCE MISSION MINISTRY LLC is a primary care clinic center in Coldspring, TX. PROVIDENCE MISSION MINISTRY LLC NPI is 1366988412. The provider is registered as an organization entity type.
The provider Is Doing Business As Providence Family Care.
The provider's business location address is:
21 ALPINE ST
COLDSPRING, TX
ZIP 77331-058
Phone: (936) 647-2227
Fax: (936) 647-2202
The provider's authorized official is Jennifer Nguyen .
The authorized official title is Business Account Manager and has the following contact phone number (281) 774-8785.
The CLIA number assigned to this NPI record is 45D2131012 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/12/2017 and was last updated on 3/8/2020.