Organization
ANGEL CARE FAMILY CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUREE HOPITAKKUL REYNOLDS MSN,FNP (OWNER)
(832) 390-4579
Entity
Organization
Contact information
Practice address
5330 FM 1960 RD E, STE C, HUMBLE, TX 77346-2502
(832) 390-4579
Mailing address
8722 SAILING DR, HUMBLE, TX 77346-2792
(832) 390-4579
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP130655
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP130655
APRN
TX
Enumeration date
01/14/2017
Last updated
01/14/2017
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