REGIONAL HEALTH CLINIC AT TERRELL, PLLC
NPI 1093235046
Nurse Practitioner - Gerontology in Terrell, TX
About Regional Health Clinic At Terrell, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
REGIONAL HEALTH CLINIC AT TERRELL, PLLC (NPI 1093235046) is a healthcare organization registered as a gerontology in Terrell, Texas and active in the NPI registry since June 2017. The organization holds a CLIA Waiver certificate valid through June 26, 2028 and lists Michael O Idemudia, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 2
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 45D2150543
Regional Health Clinic At Terrell, PLLC · Terrell, TXOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TERRELL, TX 75160
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Invicta Family Healthcare Clinic, PLLC's NPI number?
The NPI number for Invicta Family Healthcare Clinic, PLLC is 1093235046. It was assigned to this organization in the NPPES registry on June 21, 2017. The provider is doing business as Regional Health Clinic At Terrell, PLLC and Regional Health Clinic at Terrell.
Where is Invicta Family Healthcare Clinic, PLLC located?
Invicta Family Healthcare Clinic, PLLC is located at 904 W Moore Ave Ste B, Terrell, TX 75160. The listed phone number is (972) 563-1475.
What is Invicta Family Healthcare Clinic, PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Does Invicta Family Healthcare Clinic, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 45D2150543) is associated with this NPI, valid through June 26, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Invicta Family Healthcare Clinic, PLLC was last updated on December 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Regional Health Clinic At Terrell, Pllc · NPI 1093235046
Gerontology organization in Terrell, Texas. Organization record, active in the CMS NPPES registry since June 21, 2017.
## Identity
- **NPI:** 1093235046 (Entity type: Organization)
- **Enumerated:** June 21, 2017
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **Legal business name:** Invicta Family Healthcare Clinic, Pllc
- **Also known as:** Regional Health Clinic at Terrell (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Michael Idemudia, OWNER
## Practice location
- **Address:** 904 W MOORE AVE STE B, Terrell, TX 75160-3004
- **Phone:** (972) 563-1475 · **Fax:** (972) 524-5132
## Record status
- **NPPES last updated:** December 19, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1093235046) · Data from the CMS NPPES public registry.