| Hchd Internal Medicine | |
|
1504 Taub Loop Houston TX 77030-1608 | |
| (713) 873-2000 | |
| Not Available |
| Full Name | Hchd Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 1504 Taub Loop, Houston, Texas |
| Authorized Official Name and Position | John R. Nickens (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7137981710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hchd Internal Medicine Po Box 4780 Houston TX 77210-4780 Ph: (713) 798-1835 | Hchd Internal Medicine 1504 Taub Loop Houston TX 77030-1608 Ph: (713) 873-2000 |
| NPI Number | 1164463287 |
|---|---|
| Provider Enumeration Date | 06/09/2006 |
| Last Update Date | 05/09/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164463287 | NPI | - | NPPES |
| 112573402 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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