Centrum Medical Group, PLLC
General Practice in Cypress, TX. Organization (NPI-2).
NPI number1194478073
StatusActive
Last updated in NPPESJan 31, 2022
Details
- NPI
- 1194478073
- Entity type
- Organization (NPI-2)
- Legal business name
- Centrum Medical Group, PLLC
- Organization subpart
- No
- Enumeration date
- Jan 31, 2022
- Certification date
- Jan 31, 2022
- Last updated
- Jan 31, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | – | – | Yes |
Practice location
17515 Spring Cypress Rd Unit 1Cypress, TX 77429-2688
Phone 800-218-8989 · Fax 786-558-0242
Mailing address
9250 Nw 36th St Ste 420Doral, FL 33178-2775
Phone 305-266-2929
Authorized official
Graciela Victorero
Coo
3052662929
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Other General Practice Physician providers in Cypress, TX
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