| One Source Medic-clinic, P.a. | |
|
2802 Garth Rd Suite 211 Baytown TX 77521-3900 | |
| (281) 839-7244 | |
| (281) 839-7374 |
| Full Name | One Source Medic-clinic, P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 2802 Garth Rd, Baytown, Texas |
| Authorized Official Name and Position | Mohammad Ahmed (DIRECTOR) |
| Authorized Official Contact | 2818397244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| One Source Medic-clinic, P.a. 2802 Garth Rd Suite 211 Baytown TX 77521-3900 Ph: (281) 839-7244 | One Source Medic-clinic, P.a. 2802 Garth Rd Suite 211 Baytown TX 77521-3900 Ph: (281) 839-7244 |
| NPI Number | 1720368897 |
|---|---|
| Provider Enumeration Date | 08/22/2011 |
| Last Update Date | 08/22/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720368897 | NPI | - | NPPES |
| N7047 | Other | TX | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | N7047 (Texas) | Primary |
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