Provider Demographics
NPI:1821425752
Name:IMPACT HEALTH SERVICES, PLLC
Entity Type:Organization
Organization Name:IMPACT HEALTH SERVICES, PLLC
Other - Org Name:VCARE CLINICS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AIJAZ
Authorized Official - Middle Name:ALI
Authorized Official - Last Name:KHOWAJA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-475-4559
Mailing Address - Street 1:16325 WESTHEIMER RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-1233
Mailing Address - Country:US
Mailing Address - Phone:832-475-4559
Mailing Address - Fax:
Practice Address - Street 1:2615 STRAWBERRY RD
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77502-5103
Practice Address - Country:US
Practice Address - Phone:832-532-9063
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-09
Last Update Date:2013-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health