Provider Demographics
NPI:1427825967
Name:HEALTHPLUS DIAGNOSTIC PLLC
Entity type:Organization
Organization Name:HEALTHPLUS DIAGNOSTIC PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:HEALTHPLUS
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAGNOSTICS & WELLNESS
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:281-888-7458
Mailing Address - Street 1:4102 RICHMOND AVE STE C
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-6820
Mailing Address - Country:US
Mailing Address - Phone:281-888-7458
Mailing Address - Fax:346-446-4999
Practice Address - Street 1:4102 RICHMOND AVE STE C
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-6820
Practice Address - Country:US
Practice Address - Phone:800-894-6860
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-05
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No291U00000XLaboratoriesClinical Medical Laboratory