| LLC | |
|
2549 Gessner Rd Houston TX 77080-3801 | |
| (832) 649-8110 | |
| Not Available |
| Full Name | LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2549 Gessner Rd, Houston, Texas |
| Authorized Official Name and Position | Rubeena Ayesha (CEO) |
| Authorized Official Contact | 8326498110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| LLC 2549 Gessner Rd Houston TX 77080 Ph: (832) 649-8110 | LLC 2549 Gessner Rd Houston TX 77080-3801 Ph: (832) 649-8110 |
| NPI Number | 1740682202 |
|---|---|
| Provider Enumeration Date | 09/16/2014 |
| Last Update Date | 11/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740682202 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 827700 (Texas) | Primary |
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