Prosperity Ipa

NPI #1588374318 in Spring, Texas

Provider Information

NPI Number: 1588374318
Entity Type: Organization
Organization Name: Prosperity Ipa
Primary Specialty: Family Medicine
Enumeration Date: Dec 2, 2022
Last Updated: Dec 9, 2022

Practice Location

Address: 21301 KUYKENDAHL RD STE J
City: Spring
State: Texas
ZIP Code: 77379-2614
Phone: (716) 909-6965

Authorized Official

Name: MOHAMMAD HUSSAIN
Title: DIRECTOR
Phone: (716) 909-6965

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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