| Soul Butterfly Healthcare, Pllc | |
|
810 Highway 6 S Ste 203 Houston TX 77079-4022 | |
| (281) 905-5586 | |
| (504) 335-0754 |
| Full Name | Soul Butterfly Healthcare, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 810 Highway 6 S Ste 203, Houston, Texas |
| Authorized Official Name and Position | Stephanie Jupiter (CEO) |
| Authorized Official Contact | 2819055586 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Soul Butterfly Healthcare, Pllc 531 Crestwater Ct Houston TX 77082-1517 Ph: (281) 905-5586 | Soul Butterfly Healthcare, Pllc 810 Highway 6 S Ste 203 Houston TX 77079-4022 Ph: (281) 905-5586 |
| NPI Number | 1689435398 |
|---|---|
| Provider Enumeration Date | 01/19/2024 |
| Last Update Date | 01/19/2024 |
| Certification Date | 01/19/2024 |
| Medicare PECOS PAC ID | 7618314923 |
|---|---|
| Medicare Enrollment ID | O20240322000521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689435398 | NPI | - | NPPES |
| Provider Name | Stephanie Jupiter |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295041002 PECOS PAC ID: 2961435045 Enrollment ID: I20110629000282 |
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