Organization · NPI-2

610 Medical Clinic INC

Internal Medicine · Houston, TX

NPI number1104090984
StatusActive
Last updated in NPPESApr 14, 2008

Details

NPI
1104090984
Entity type
Organization (NPI-2)
Legal business name
610 Medical Clinic INC
Organization subpart
No
Enumeration date
Apr 14, 2008
Last updated
Apr 14, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Practice location

1919 North Loop W Ste 299
Houston, TX 77008-1368

Phone 281-853-6653 · Fax 713-869-9470

Mailing address

1919 North Loop W Ste 299
Houston, TX 77008-1368

Phone 281-853-6653 · Fax 713-869-9470

Authorized official

T J Boyce
Manager
2818536653

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