# EXCEPTIONAL HEIGHTS MEDICAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063181642
- **Authorized official:** MRS. TISHA WILLIS FNP-C (CEO)
- **Authorized official phone:** (281) 615-7601

## Contact information

- **Practice address:** 8240 ANTOINE DR STE 102A, HOUSTON, TX 77088-2522
- **Practice address phone:** (281) 741-8368
- **Mailing address:** 8240 ANTOINE DR STE 102A, HOUSTON, TX 77088-2522
- **Mailing address phone:** (281) 741-8368
- **Mailing address fax:** (281) 741-8943

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/08/2021
- **Last updated:** 09/08/2021