NPI | 1265087472 |
---|---|
Former Legal Business Name | INNOVISTA MEDICAL CENTER OF TEXAS PA |
Doing Business As | INNOVISTA KATY |
Entity Type | Organization |
Authorized Contact | MIA WILLHITE Owner 269-720-7042 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2019-08-05 |
Last Update Date | 2025-06-02 |