Northeast San Antonio Two Medical Group, PLLC
Clinic/Center, Primary Care in Tomball, TX. Organization (NPI-2).
NPI number1033799747
StatusActive
Last updated in NPPESMay 27, 2022
Details
- NPI
- 1033799747
- Entity type
- Organization (NPI-2)
- Legal business name
- Northeast San Antonio Two Medical Group, PLLC
- Organization subpart
- No
- Enumeration date
- Apr 8, 2021
- Certification date
- May 27, 2022
- Last updated
- May 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
16131 N Eldridge Pkwy Ste 100Tomball, TX 77377-9130
Phone 281-429-8525
Mailing address
16131 N Eldridge Pkwy Ste 100Tomball, TX 77377-9130
Phone 281-429-8525
Authorized official
Welton Wayne Wilson
Manager
2814298525
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All 45 Primary Care Clinic/Center providers in Tomball · All 1,725 providers in Tomball
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