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Organization
INNOVISTA PROVIDER GROUP TEXAS PA
Active
Organization
INNOVISTA PROVIDER GROUP TEXAS PA
Active
Parent organization
INNOVISTA PROVIDER GROUP TEXAS PA
Other names
Innovista Medical Center of Texas PA, Innovista Southbelt
Organization subpart
Yes
Provider details
NPI number
Legal business name
INNOVISTA PROVIDER GROUP TEXAS PA
Authorized official
AFREEN PAPPA MD (MARKET MEDICAL DIRECTOR)
(281) 639-4679
Entity
Organization
Contact information
Practice address
12823 GULF FWY, HOUSTON, TX 77034-4807
(305) 470-2929
Mailing address
PO BOX 8150, WESTCHESTER, IL 60154-8150
(844) 665-4827
(877) 862-5671
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/01/2019
Last updated
06/02/2025
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