P Praxis·MD
● Active Type 2 · Organization

Fresh Impact Church, Inc.

Clinic/Center·Manvel, TX· NPI 1326830514 · Enumerated 2025 · 1 years on NPI
Fresh Impact Church, Inc. is 1 of 932 clinic/center organizations in Texas.
NPI age
1 years
Enumerated 2025-05-21
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lane
Owner
Last NPPES update
2025-05-21
Source: monthly bulk 2026-05

How this organization compares

Across 932 active clinic/center providers in Texas.

NPI age
1 years
↓ 14 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2025 → 2026

2025-05Enumerated in NPPES
2025 2026

Where they practice

Primary practice location
11800 Magnolia Pkwy
Manvel, TX 775781800
📞 6786774041
Mailing address
3627 Cibolo Ct
Pearland, TX 775843975

Authorized official

Tyrone Lane
Owner
📞 6786774041

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QA0600X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Adult Activity Center
    Type code 3 recorded 2025-05-21

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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