| |
8518 Jensen Dr Houston TX 77093-7510 | |
(713) 691-2112 | |
(713) 691-1771 |
Full Name | |
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Speciality | Clinic/center |
Location | 8518 Jensen Dr, Houston, Texas |
Authorized Official Name and Position | Kwame Adu-gyamfi (DIRECTOR) |
Authorized Official Contact | 7136912112 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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8518 Jensen Drive Houston TX 77093-7510 Ph: (713) 691-2112 | 8518 Jensen Dr Houston TX 77093-7510 Ph: (713) 691-2112 |
NPI Number | 1356490882 |
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Provider Enumeration Date | 01/10/2007 |
Last Update Date | 03/07/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356490882 | NPI | - | NPPES |
184797201 | Medicaid | TX | |
184797202 | Other | TX | THSTEP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (Texas) | Primary |
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