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Organization
PROVIDER HEALTH SERVICES LLC
Active
Organization
PROVIDER HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR MZYECE APRN (PRESIDENT)
(281) 305-8633
Entity
Organization
Contact information
Practice address
1906 TREBLE DR STE 18, HUMBLE, TX 77338-5284
(281) 305-8633
(281) 305-8633
Mailing address
14511 EMMA SPRINGS CT, HUMBLE, TX 77396-4893
(281) 305-8633
(281) 305-8633
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/12/2023
Last updated
04/02/2024
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