Organization
PROCENTURE MEDICAL SERVICES LLC
Active
Other names
ProCenture Medical Services
Organization subpart
No
Provider details
NPI number
Authorized official
HUMAIRA QUERESHI (BILLING)
(281) 864-0448
Entity
Organization
Contact information
Practice address
2014 WENTWORTH ST, HOUSTON, TX 77004-6084
(713) 459-2566
Mailing address
5925 ALMEDA RD UNIT 11701, HOUSTON, TX 77004-7677
(713) 459-2566
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/07/2018
Last updated
07/20/2023
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