| Ut Physicians-th Steps Squatty Lyons Clinic | |
|
1712 First St Humble TX 77338-5238 | |
| (281) 446-4139 | |
| Not Available |
| Full Name | Ut Physicians-th Steps Squatty Lyons Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1712 First St, Humble, Texas |
| Authorized Official Name and Position | Andrew R Casas (CHIEF OPERATIONS OFFICER) |
| Authorized Official Contact | 8323257317 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ut Physicians-th Steps Squatty Lyons Clinic P O Box 201088 Houston TX 77216-1088 Ph: (713) 500-3500 | Ut Physicians-th Steps Squatty Lyons Clinic 1712 First St Humble TX 77338-5238 Ph: (281) 446-4139 |
| NPI Number | 1003028945 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 05/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003028945 | NPI | - | NPPES |
| 018341001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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