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Organization
PROVISIONS HEALTH SOLUTIONS LLC
Active
Organization
PROVISIONS HEALTH SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LA TASHA NICHOLE KRAUTH (DIRECTOR)
(346) 473-5945
Entity
Organization
Contact information
Practice address
5445 ALMEDA RD STE 305, HOUSTON, TX 77004-7447
(832) 930-4133
Mailing address
5445 ALMEDA RD STE 305, HOUSTON, TX 77004-7447
(832) 930-4133
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
12/08/2023
Last updated
06/01/2024
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