| NPI | 1174966915 |
|---|---|
| Other Name | IDIC HEALTHCARE, PLLC |
| Entity Type | Organization |
| Authorized Contact | STEVEN L HOUSEWORTH Managing Member 832-248-4636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2018-09-24 |