Organization
FAMILY SUREHEALTH CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SCHOLASTICA NNENNA NWODO FNP (ADMINISTRATOR)
(281) 383-9762
Entity
Organization
Contact information
Practice address
2435 TEXAS PKWY STE K, MISSOURI CITY, TX 77489-4061
(281) 383-9762
(832) 886-1675
Mailing address
2435 TEXAS PKWY STE K, MISSOURI CITY, TX 77489-4061
(281) 383-9762
(832) 886-1675
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
261QP2300X
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q68999
UPIN
TX
Enumeration date
01/09/2008
Last updated
01/09/2008
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