| Intrust Medical | |
|
8240 Antoine Dr Ste 100 Houston TX 77088-2534 | |
| (346) 907-5799 | |
| (346) 907-5644 |
| Full Name | Intrust Medical |
|---|---|
| Speciality | General Practice |
| Location | 8240 Antoine Dr Ste 100, Houston, Texas |
| Authorized Official Name and Position | Genia Moore (PRACTICE MANAGER) |
| Authorized Official Contact | 3469075799 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intrust Medical 8240 Antoine Dr Ste 100 Houston TX 77088-2534 Ph: (346) 907-5799 | Intrust Medical 8240 Antoine Dr Ste 100 Houston TX 77088-2534 Ph: (346) 907-5799 |
| NPI Number | 1912461344 |
|---|---|
| Provider Enumeration Date | 01/30/2019 |
| Last Update Date | 03/15/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912461344 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Secondary |
| 208D00000X | General Practice | (NU) | Primary |
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