| Grapevine Family Clinic Llc | |
|
14522 S Post Oak Rd Suite 203b Houston TX 77045-6037 | |
| (713) 434-9270 | |
| Not Available |
| Full Name | Grapevine Family Clinic Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 14522 S Post Oak Rd, Houston, Texas |
| Authorized Official Name and Position | Adetokunboh Ade Omigie (OWNER) |
| Authorized Official Contact | 7134349270 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grapevine Family Clinic Llc 14522 S Post Oak Rd Suite 203b Houston TX 77045-6037 Ph: (713) 434-9270 | Grapevine Family Clinic Llc 14522 S Post Oak Rd Suite 203b Houston TX 77045-6037 Ph: (713) 434-9270 |
| NPI Number | 1255577284 |
|---|---|
| Provider Enumeration Date | 12/22/2008 |
| Last Update Date | 03/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255577284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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