| |
2550 Gray Falls Dr, Suite 120, Houston, TX 77077-6674 | |
(281) 496-3355 | |
(281) 496-4242 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Medicine & Rehabilitation - Hospice And Palliative Medicine |
Location | 2550 Gray Falls Dr, Houston, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881812055 | NPI | - | NPPES |
8F0272 | Other | TX | BLUE SHIELD |
8F0272 | Other | TX | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC4293 (Texas) | Primary |
2081H0002X | Physical Medicine & Rehabilitation - Hospice And Palliative Medicine | MDE7036 (Texas) | Primary |
Mailing Address | Practice Location Address |
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2550 Gray Falls Dr, Suite 120, Houston, TX 77077-6674 Ph: (281) 496-3355 | 2550 Gray Falls Dr, Suite 120, Houston, TX 77077-6674 Ph: (281) 496-3355 |