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Organization
INNOVISTA PROVIDER GROUP TEXAS PA
Active
Organization
INNOVISTA PROVIDER GROUP TEXAS PA
Active
Other names
Innovista Briarforest
Organization subpart
No
Provider details
NPI number
Authorized official
MIA WILLHITE (COO)
(267) 720-7042
Entity
Organization
Contact information
Practice address
12586 WESTHEIMER RD, HOUSTON, TX 77077-5865
(305) 470-2929
Mailing address
PO BOX 8150, WESTCHESTER, IL 60154-8150
(844) 665-4827
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/02/2019
Last updated
06/02/2025
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