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Organization
PERSEVERANCE HEATLH INNOVATION LTD
Active
Organization
PERSEVERANCE HEATLH INNOVATION LTD
Active
Other names
WellMobile
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIERSTEN CHANTELLE WILLIAMS-BOLTON (CEO/EXECUTIVE DIRECTOR)
(832) 380-0216
Entity
Organization
Contact information
Practice address
21706 WILLOW DOWNS, TOMBALL, TX 77375
(832) 380-0216
(281) 745-4367
Mailing address
24646 NORTH FREEWAY 45 N., 200, SPRING, TX 77386
(832) 380-0216
(281) 745-4367
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
N7983
TX
172V00000X
Community Health Worker
7397
TX
363LF0000X
Family Nurse Practitioner
Primary
771216
TX
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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