| Cpr Medical Group Pa | |
|
921 Fm 1960 Rd W Suite 115 B Houston TX 77090-2505 | |
| (281) 440-7246 | |
| (281) 440-7248 |
| Full Name | Cpr Medical Group Pa |
|---|---|
| Speciality | Internal Medicine - Addiction Medicine |
| Location | 921 Fm 1960 Rd W, Houston, Texas |
| Authorized Official Name and Position | Donnie Evans (PRESIDENT) |
| Authorized Official Contact | 2814407246 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cpr Medical Group Pa 921 Fm 1960 Rd W Suite 115 B Houston TX 77090-2505 Ph: (281) 440-7246 | Cpr Medical Group Pa 921 Fm 1960 Rd W Suite 115 B Houston TX 77090-2505 Ph: (281) 440-7246 |
| NPI Number | 1316226459 |
|---|---|
| Provider Enumeration Date | 08/08/2011 |
| Last Update Date | 01/04/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316226459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | H5705 (Texas) | Secondary |
| 207RA0401X | Internal Medicine - Addiction Medicine | H57075 (Texas) | Primary |
| 363L00000X | Nurse Practitioner | H5705 (Texas) | Secondary |
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