| |
18700 W Lake Houston Pkwy Ste A105, Atascocita, TX 77346-3350 | |
(281) 361-7400 | |
(877) 242-8502 |
Full Name | |
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Type | Facility |
Speciality | Podiatrist |
Location | 18700 W Lake Houston Pkwy Ste A105, Atascocita, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1356529713 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
213E00000X | Podiatrist | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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8 N Main St Ste P, Kingwood, TX 77339-3750 Ph: (281) 361-7400 | 18700 W Lake Houston Pkwy Ste A105, Atascocita, TX 77346-3350 Ph: (281) 361-7400 |