INNOVISTA PROVIDER GROUP TEXAS PA

KATY, TX
NPI1265087472
Former Legal Business NameINNOVISTA MEDICAL CENTER OF TEXAS PA
Doing Business AsINNOVISTA KATY
Entity TypeOrganization
Authorized ContactMIA WILLHITE
Owner
269-720-7042
Organization Subpart ?Yes
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2019-08-05
Last Update Date2025-06-02
Business Address
INNOVISTA PROVIDER GROUP TEXAS PA
2610 NORTH MASON ROAD
KATY, TX 77449
Phone number: 305-470-2929
Mailing Address
INNOVISTA PROVIDER GROUP TEXAS PA
PO BOX 8150
WESTCHESTER, IL 60154-8150
Phone number: 844-665-4827