| |
10600 Fondren Rd, #101, Houston, TX 77096 | |
(713) 776-0091 | |
(713) 776-0093 |
Full Name | |
---|---|
Type | Facility |
Speciality | Clinic/center - Occupational Medicine |
Location | 10600 Fondren Rd, Houston, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265598734 | NPI | - | NPPES |
P08815K05 | Medicaid | TX | |
P0899443N7 | Medicaid | TX | |
P089942N7 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC6816 (Texas) | Secondary |
261QX0100X | Clinic/center - Occupational Medicine | F8454 (Texas) | Primary |
Mailing Address | Practice Location Address |
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10600 Fondren Rd, Suite #101, Houston, TX 77096 Ph: (713) 776-0252 | 10600 Fondren Rd, #101, Houston, TX 77096 Ph: (713) 776-0091 |