Organization
PRIME VITAL
Active
Organization
PRIME VITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLARA IKE FNP-C (OWNER)
(832) 656-6790
Entity
Organization
Contact information
Practice address
2017 N FRAZIER ST STE G8A, CONROE, TX 77301-1248
(936) 703-3468
(936) 703-3469
Mailing address
2257 N LOOP 336 W STE 140-246, CONROE, TX 77304-3566
(832) 656-6790
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2025
Last updated
08/04/2026
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