Central Houston Management Group, LLC
Clinic/Center, Medical Specialty in Houston, TX. Organization (NPI-2).
NPI number1093216632
StatusActive
Last updated in NPPESFeb 27, 2018
Details
- NPI
- 1093216632
- Entity type
- Organization (NPI-2)
- Legal business name
- Central Houston Management Group, LLC
- Organization subpart
- No
- Enumeration date
- Feb 27, 2018
- Last updated
- Feb 27, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | K8150 | TX | Yes |
Practice location
4120 Southwest Fwy Ste 230Houston, TX 77027-7327
Phone 713-562-7890 · Fax 281-605-4566
Mailing address
10507 E Wildwind CirSpring, TX 77380-4043
Phone 281-543-0012
Authorized official
Mark Filley
Manager
2815430012
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