West Little York Medical Center, Pllc | |
511 W Little York Rd Suite A Houston TX 77091-2421 | |
(713) 742-9900 | |
(713) 742-9901 |
Full Name | West Little York Medical Center, Pllc |
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Speciality | Clinic/center - Primary Care |
Location | 511 W Little York Rd, Houston, Texas |
Authorized Official Name and Position | Courtney Corsalle Gordon (MANAGER) |
Authorized Official Contact | 7137429900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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West Little York Medical Center, Pllc Po Box 91124 Houston TX 77291-1124 Ph: (713) 742-9900 | West Little York Medical Center, Pllc 511 W Little York Rd Suite A Houston TX 77091-2421 Ph: (713) 742-9900 |
NPI Number | 1750693685 |
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Provider Enumeration Date | 07/08/2010 |
Last Update Date | 01/28/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750693685 | NPI | - | NPPES |
216816301 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (Texas) | Primary |
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