Provider Demographics
NPI:1003673211
Name:HELP HOME PRIMARY CARE, PLLC
Entity Type:Organization
Organization Name:HELP HOME PRIMARY CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARI
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:979-480-0197
Mailing Address - Street 1:127 CIRCLE WAY ST STE C
Mailing Address - Street 2:
Mailing Address - City:LAKE JACKSON
Mailing Address - State:TX
Mailing Address - Zip Code:77566-5271
Mailing Address - Country:US
Mailing Address - Phone:979-480-0197
Mailing Address - Fax:979-480-0332
Practice Address - Street 1:127 CIRCLE WAY ST STE C
Practice Address - Street 2:
Practice Address - City:LAKE JACKSON
Practice Address - State:TX
Practice Address - Zip Code:77566-5271
Practice Address - Country:US
Practice Address - Phone:979-480-0197
Practice Address - Fax:979-480-0332
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-04
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care