| Infinity Diversified Group LLC | |
|
12600 Bissonnet St Houston TX 77099-1337 | |
| (346) 570-2625 | |
| Not Available |
| Full Name | Infinity Diversified Group LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 12600 Bissonnet St, Houston, Texas |
| Authorized Official Name and Position | John Taylor (OWNER) |
| Authorized Official Contact | 3465702625 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Infinity Diversified Group LLC 12600 Bissonnet St Houston TX 77099-1337 Ph: (346) 570-2625 | Infinity Diversified Group LLC 12600 Bissonnet St Houston TX 77099-1337 Ph: (346) 570-2625 |
| NPI Number | 1508336330 |
|---|---|
| Provider Enumeration Date | 12/05/2018 |
| Last Update Date | 07/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508336330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Secondary |
| 261Q00000X | Clinic/center | () | Primary |
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