# PINEVILLE GROUP HEALTH, LLC

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

## Provider details

- **NPI number:** 1114633039
- **Authorized official:** FELISHA WALKER (BILLING MANAGER)
- **Authorized official phone:** (281) 429-8526

## Contact information

- **Practice address:** 10430 PARK RD STE 100A, CHARLOTTE, NC 28210-8541
- **Practice address phone:** (281) 429-8526
- **Mailing address:** 16131 N ELDRIDGE PKWY STE 100, TOMBALL, TX 77377-9130
- **Mailing address phone:** (832) 585-2747

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/24/2023
- **Last updated:** 01/24/2023