| Management Affiliates Of Northeast Houston | |
|
22751 Professional Drive Suite 2100 Kingwood TX 77339 | |
| (281) 359-3223 | |
| Not Available |
| Full Name | Management Affiliates Of Northeast Houston |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 22751 Professional Drive, Kingwood, Texas |
| Authorized Official Name and Position | Randy Butler (ADMINISTRATOR) |
| Authorized Official Contact | 2813593223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Management Affiliates Of Northeast Houston 22751 Professional Drive Suite 2100 Kingwood TX 77339-6005 Ph: () - | Management Affiliates Of Northeast Houston 22751 Professional Drive Suite 2100 Kingwood TX 77339 Ph: (281) 359-3223 |
| NPI Number | 1013236306 |
|---|---|
| Provider Enumeration Date | 05/26/2010 |
| Last Update Date | 05/26/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013236306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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