| Utpss Chwc Victory Thsteps | |
|
7364 Antoine Dr Houston TX 77088-7230 | |
| (713) 486-7350 | |
| (713) 486-0854 |
| Full Name | Utpss Chwc Victory Thsteps |
|---|---|
| Speciality | Internal Medicine |
| Location | 7364 Antoine Dr, Houston, Texas |
| Authorized Official Name and Position | Andrew R Casas (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 7323257325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Utpss Chwc Victory Thsteps Po Box 301448 Dallas TX 75303-1448 Ph: (713) 500-3500 | Utpss Chwc Victory Thsteps 7364 Antoine Dr Houston TX 77088-7230 Ph: (713) 486-7350 |
| NPI Number | 1184158941 |
|---|---|
| Provider Enumeration Date | 04/18/2017 |
| Last Update Date | 05/04/2021 |
| Certification Date | 05/04/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184158941 | NPI | - | NPPES |
| 195996712 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 208000000X | Pediatrics | () | Secondary |
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