| Northeast Houston One Medical Group, Pllc | |
|
2665 Royal Frst Ste B-150 Kingwood TX 77339-5045 | |
| (832) 899-5618 | |
| Not Available |
| Full Name | Northeast Houston One Medical Group, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2665 Royal Frst Ste B-150, Kingwood, Texas |
| Authorized Official Name and Position | Welton Wayne Wilson (MANAGER) |
| Authorized Official Contact | 2814298526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Houston One Medical Group, Pllc 16131 N Eldridge Pkwy Ste 100 Tomball TX 77377-9130 Ph: (281) 429-8526 | Northeast Houston One Medical Group, Pllc 2665 Royal Frst Ste B-150 Kingwood TX 77339-5045 Ph: (832) 899-5618 |
| NPI Number | 1518627918 |
|---|---|
| Provider Enumeration Date | 12/27/2021 |
| Last Update Date | 12/27/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518627918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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