| Waters of Wellness Family Medicine | |
|
8714 Spring Cypress Rd Ste 170 Spring TX 77379-3396 | |
| (346) 808-7084 | |
| (346) 740-1927 |
| Full Name | Waters of Wellness Family Medicine |
|---|---|
| Speciality | Clinic/Center |
| Location | 8714 Spring Cypress Rd Ste 170, Spring, Texas |
| Authorized Official Name and Position | Heather Nicole Mccrackin (OWNER/PRIMARY PROVIDER) |
| Authorized Official Contact | 2813230092 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Waters of Wellness Family Medicine 8714 Spring Cypress Rd Ste 170 Spring TX 77379-3396 | Waters of Wellness Family Medicine 8714 Spring Cypress Rd Ste 170 Spring TX 77379-3396 Ph: (346) 808-7084 |
| NPI Number | 1104642511 |
|---|---|
| Provider Enumeration Date | 12/02/2024 |
| Last Update Date | 03/18/2025 |
| Certification Date | 03/18/2025 |
| Medicare PECOS PAC ID | 3375072275 |
|---|---|
| Medicare Enrollment ID | O20250122001243 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104642511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
| Provider Name | Heather Nicole Mccrackin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649951757 PECOS PAC ID: 1759728009 Enrollment ID: I20240321002530 |
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