Organization
INNOVISTA PROVIDER GROUP TEXAS PA
Active
Other names
Innovista Briarforest
Organization subpart
No
Provider details
NPI number
Authorized official
MIA WILLHITE (COO)
(267) 720-7042
Entity
Organization
Contact information
Practice address
12586 WESTHEIMER RD, HOUSTON, TX 77077-5865
(305) 470-2929
Mailing address
PO BOX 8150, WESTCHESTER, IL 60154-8150
(844) 665-4827
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/02/2019
Last updated
06/02/2025
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