Organization
COVENANT MOBILE HEALTHCARE LLC
Active
Parent organization
COVENANT MOBILE HEALTHCARE LLC
Other names
Family First Primary Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
COVENANT MOBILE HEALTHCARE LLC
Authorized official
MR. STEPHEN WAYNE RICKS JR. FNP-C (PRESIDENT)
(979) 248-1586
Entity
Organization
Contact information
Practice address
FAMILY FIRST PRIMARY CARE, 732 E. HENDERSON RD, ANGLETON, TX 77515
(979) 248-1586
(979) 318-5594
Mailing address
732 E HENDERSON RD, ANGLETON, TX 77515-8463
(979) 248-1586
(979) 318-5594
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3675498
—
TX
Enumeration date
05/25/2017
Last updated
02/17/2020
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