| Professional Medical & Surgical Clinic Association | |
|
1740 W 27th St Houston TX 77008-1433 | |
| (713) 863-1555 | |
| Not Available |
| Full Name | Professional Medical & Surgical Clinic Association |
|---|---|
| Speciality | Family Medicine |
| Location | 1740 W 27th St, Houston, Texas |
| Authorized Official Name and Position | Christopher S. Angelo (PRESIDENT) |
| Authorized Official Contact | 7138631555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Medical & Surgical Clinic Association 1740 W 27th St #221 Houston TX 77008 Ph: (713) 863-1555 | Professional Medical & Surgical Clinic Association 1740 W 27th St Houston TX 77008-1433 Ph: (713) 863-1555 |
| NPI Number | 1134167653 |
|---|---|
| Provider Enumeration Date | 06/04/2006 |
| Last Update Date | 02/24/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134167653 | NPI | - | NPPES |
| 8A1910 | Other | TX | BCBS |
| 103693101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | D5589 (Texas) | Primary |
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