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908 E Southmore Ave Ste 340 Pasadena TX 77502-1133 | |
| (713) 589-1435 | |
| (713) 589-1439 |
| Full Name | |
|---|---|
| Speciality | Clinic/center |
| Location | 908 E Southmore Ave Ste 340, Pasadena, Texas |
| Authorized Official Name and Position | Robert Cain (PHYSICIAN ASSISTANT) |
| Authorized Official Contact | 6198713252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
P.o.box 299 Richmond TX 77406 Ph: (713) 589-1435 | 908 E Southmore Ave Ste 340 Pasadena TX 77502-1133 Ph: (713) 589-1435 |
| NPI Number | 1295053023 |
|---|---|
| Provider Enumeration Date | 05/04/2010 |
| Last Update Date | 05/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295053023 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | PA04517 (Texas) | Primary |
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