MINDFUL PRIMARY & PSYCH CARE NPI 1811563497

NPI Information

NPI: 1811563497
Provider Name: MINDFUL PRIMARY & PSYCH CARE
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 45D2230241

Address:
2300 CLEAR CREEK RD STE 205
KILLEEN, TX
ZIP 76549
Phone: (254) 781-6772
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MINDFUL PRIMARY & PSYCH CARE is a multi-specialty clinic center in Killeen, TX. MINDFUL PRIMARY & PSYCH CARE NPI is 1811563497. The provider is registered as an organization entity type.

The provider's business location address is:

2300 CLEAR CREEK RD STE 205
KILLEEN, TX
ZIP 76549-404
Phone: (254) 781-6772

The provider's authorized official is Seresea Mitchell-smith .
The authorized official title is Nurse Practioner and has the following contact phone number (254) 781-6772.

The CLIA number assigned to this NPI record is 45D2230241 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/3/2021 and was last updated on 9/3/2021.

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	261QM1300X	Clinic/Center	Multi-Specialty			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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