Organization · Type 2 NPI
Providence Mission Ministry LLC
Primary Care Clinic/Center · Coldspring, TX
NPI number
1366988412
Active
Practice location
21 Alpine St
Coldspring, TX 77331-8058
Fax (936) 647-2202
Mailing address
PO Box 1293
New Caney, TX 77357-1293
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
4 other providers at this address
- Elizabeth Becerra, APRN, FNP-CFamily Nurse Practitioner Coldspring, TX NPI 1457161655
- Lewis Milton Devore, P.A.Physician Assistant Coldspring, TX NPI 1316018385
- Maria Guadalupe Navarro Elias, PA-CPhysician Assistant Coldspring, TX NPI 1518745066
- Tri Minh Le, MDFamily Medicine Physician Coldspring, TX NPI 1205848033
About NPI 1366988412
Providence Mission Ministry LLC's National Provider Identifier is 1366988412, issued on Jan 12, 2017. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Coldspring, TX. The record was last updated on Mar 8, 2020.