Provider Demographics
NPI:1093594574
Name:NEEDLE LITTLE CARE LLC
Entity Type:Organization
Organization Name:NEEDLE LITTLE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTIONER
Authorized Official - Prefix:
Authorized Official - First Name:NATASSIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CLEAVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-921-0798
Mailing Address - Street 1:13165 W LAKE HOUSTON PKWY # 229
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77044-5391
Mailing Address - Country:US
Mailing Address - Phone:281-713-5113
Mailing Address - Fax:
Practice Address - Street 1:3838 N SAM HOUSTON PKWY E STE 325
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77032-3400
Practice Address - Country:US
Practice Address - Phone:281-713-5113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-25
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty