| Third Coast Iom Llc | |
|
63 Haven Shore Ln Sugar Land TX 77479-3748 | |
| (832) 334-1436 | |
| Not Available |
| Full Name | Third Coast Iom Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Clinical Neurophysiology |
| Location | 63 Haven Shore Ln, Sugar Land, Texas |
| Authorized Official Name and Position | Marquis Hogue (OWNER) |
| Authorized Official Contact | 8323341436 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Third Coast Iom Llc 63 Haven Shore Ln Sugar Land TX 77479-3748 Ph: (832) 334-1436 | Third Coast Iom Llc 63 Haven Shore Ln Sugar Land TX 77479-3748 Ph: (832) 334-1436 |
| NPI Number | 1245117878 |
|---|---|
| Provider Enumeration Date | 08/18/2025 |
| Last Update Date | 08/18/2025 |
| Certification Date | 08/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245117878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0600X | Psychiatry & Neurology - Clinical Neurophysiology | (* (Not Available)) | Primary |
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