| |
8200 Wednesbury Ln Ste 210, Houston, TX 77074-2931 | |
(713) 771-2225 | |
(713) 771-1876 |
Full Name | |
---|---|
Type | Facility |
Speciality | Internal Medicine |
Location | 8200 Wednesbury Ln Ste 210, Houston, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912037631 | NPI | - | NPPES |
0017LH | Other | TX | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NX0100X | Chiropractor - Occupational Health | F006098 (Texas) | Secondary |
207R00000X | Internal Medicine | L0617 (Texas) | Primary |
Mailing Address | Practice Location Address |
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8200 Wednesbury Ln Ste 210, Houston, TX 77074-2931 Ph: (713) 771-2225 | 8200 Wednesbury Ln Ste 210, Houston, TX 77074-2931 Ph: (713) 771-2225 |