Provider Demographics
NPI:1326459850
Name:IMANI FAMILY CLINIC
Entity Type:Organization
Organization Name:IMANI FAMILY CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:HAWA
Authorized Official - Middle Name:TURAY
Authorized Official - Last Name:STINSON
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, FNP-C
Authorized Official - Phone:713-885-1905
Mailing Address - Street 1:13625 BEECHNUT ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-6843
Mailing Address - Country:US
Mailing Address - Phone:713-885-1905
Mailing Address - Fax:281-265-0081
Practice Address - Street 1:13625 BEECHNUT ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-6843
Practice Address - Country:US
Practice Address - Phone:713-885-1905
Practice Address - Fax:281-265-0081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-19
Last Update Date:2014-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center