Your First Class Medical Clinic Pllc | |
13415 Woodforest Blvd Houston TX 77015-2922 | |
(713) 453-9400 | |
(210) 541-8841 |
Full Name | Your First Class Medical Clinic Pllc |
---|---|
Speciality | General Practice |
Location | 13415 Woodforest Blvd, Houston, Texas |
Authorized Official Name and Position | Rosa A Fuentes (OWNER) |
Authorized Official Contact | 7134539400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Your First Class Medical Clinic Pllc 13415 Woodforest Blvd Houston TX 77015-2922 Ph: (713) 453-9400 | Your First Class Medical Clinic Pllc 13415 Woodforest Blvd Houston TX 77015-2922 Ph: (713) 453-9400 |
NPI Number | 1225332661 |
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Provider Enumeration Date | 12/28/2010 |
Last Update Date | 12/28/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225332661 | NPI | - | NPPES |
K1817 | Other | TX | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | K1817 (Texas) | Primary |
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