Organization · Type 2 NPI
Idic Healthcare, PLLC
Multi-Specialty Clinic/Center · Houston, TX
NPI number
1174966915
Active
Practice location
627 W. 19th St., Suite 203
Houston, TX 77008-3613
Fax (866) 804-7241
Mailing address
5726 Sagamore Bay Ln
Richmond, TX 77469-7398
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
| Adult Mental Health Clinic/Center | 261QM0850X | None listed |
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
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About NPI 1174966915
Idic Healthcare, PLLC's National Provider Identifier is 1174966915, issued on Apr 11, 2013. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Houston, TX. The record was last updated on Sep 24, 2018.