| |
510 Waugh Dr, Houston, TX 77019-2002 | |
(713) 522-1726 | |
(713) 522-7163 |
Full Name | |
---|---|
Type | Facility |
Speciality | Family Medicine |
Location | 510 Waugh Dr, Houston, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780851816 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 6456 (Texas) | Secondary |
207Q00000X | Family Medicine | M7449 (Texas) | Primary |
Mailing Address | Practice Location Address |
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Po Box 131058, Houston, TX 77219-1058 Ph: (713) 522-1726 | 510 Waugh Dr, Houston, TX 77019-2002 Ph: (713) 522-1726 |