| Affectionate Heart Inc | |
|
11104 W Airport Blvd Ste 141 Stafford TX 77477-3040 | |
| (128) 176-22339 | |
| Not Available |
| Full Name | Affectionate Heart Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 11104 W Airport Blvd Ste 141, Stafford, Texas |
| Authorized Official Name and Position | Razak Okuneye (ADMINISTRATOR) |
| Authorized Official Contact | 2817622339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Affectionate Heart Inc 11104 W Airport Blvd Ste 141 Stafford TX 77477-3040 Ph: (128) 176-22339 | Affectionate Heart Inc 11104 W Airport Blvd Ste 141 Stafford TX 77477-3040 Ph: (128) 176-22339 |
| NPI Number | 1588194484 |
|---|---|
| Provider Enumeration Date | 06/14/2017 |
| Last Update Date | 06/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588194484 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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