Mpact Healthcare

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

818614 Issued in TX

Legal business name

MPACT HEALTHCARE

Practice address

123 Sweet Garden Dr
Conroe, TX 77384-2125

Phone

(832) 846-9296

NPI assigned

Jan 5, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Gregory Allen Pierce, RN, BSN, MBA, MHA

Title

Ceo

Phone

(832) 846-9296

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1483574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483574400000",
    "number": "1629513361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 SWEET GARDEN DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773842125",
            "telephone_number": "832-846-9296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 SWEET GARDEN DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773842125",
            "telephone_number": "832-846-9296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MPACT HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-05",
        "last_updated": "2017-01-05",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-846-9296",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN, BSN, MBA, MHA"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "TX",
            "license": "818614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Mott, RN
• Teresa Mokeira Motua, AGACNP-BC
• Franck Ivan Mougwa Dimo
• Victoria Francis Mousa
• Dominica Moussoki, MS
• Swathi Muddasani, MD
• Lise Mary Mueller-Goodrum, BSN, RN
• Hannah Mueller
• Dania Fatima Muhammad
• Jessen James Mukalel, M.D.

• Case Management Agency in Conroe, TX
• Providers in Conroe, TX by specialty
• Case Management Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.