| West Houston Primary Care Pa | |
|
14629 Memorial Dr Houston TX 77079-7500 | |
| (281) 589-8500 | |
| Not Available |
| Full Name | West Houston Primary Care Pa |
|---|---|
| Speciality | Clinic/center |
| Location | 14629 Memorial Dr, Houston, Texas |
| Authorized Official Name and Position | Tesfamariam M Tedla (PHYSICIAN) |
| Authorized Official Contact | 2815898500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Houston Primary Care Pa 14629 Memorial Dr Houston TX 77079-7500 Ph: (281) 589-8500 | West Houston Primary Care Pa 14629 Memorial Dr Houston TX 77079-7500 Ph: (281) 589-8500 |
| NPI Number | 1598001208 |
|---|---|
| Provider Enumeration Date | 12/27/2012 |
| Last Update Date | 10/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598001208 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | N4791 (Texas) | Primary |
| 261QH0100X | Clinic/center - Health Service | N4791 (Texas) | Secondary |
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