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Organization
TAKE CARE HEALTH TEXAS, PC
Active
Organization
TAKE CARE HEALTH TEXAS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER PHIPPS (CHIEF FINANCIAL OFFICIAL)
(855) 925-4733
Entity
Organization
Contact information
Practice address
1215 W 43RD ST, HOUSTON, TX 77018-4203
(855) 925-4733
(217) 709-2345
Mailing address
1901 E VOORHEES ST, MS 640, DANVILLE, IL 61834-4509
(855) 925-4733
(217) 709-2345
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0053QK
BCBS
—
05
—
194965301
—
TX
05
—
195248301
—
TX
05
—
198305801
—
TX
Enumeration date
06/22/2007
Last updated
12/02/2015
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