Organization · NPI-2

59 Medical Clinic LLC

Clinic/Center · Houston, TX

NPI number1265720585
StatusActive
Last updated in NPPESAug 16, 2011

Details

NPI
1265720585
Entity type
Organization (NPI-2)
Legal business name
59 Medical Clinic LLC
Organization subpart
No
Enumeration date
Jul 20, 2011
Last updated
Aug 16, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Centerf8052TXYes
207R00000X Internal Medicinef8052TX
208D00000X General Practicef8052TX

Practice location

3500 Little York Rd
Houston, TX 77093-3658

Phone 713-691-8400 · Fax 713-691-8402

Mailing address

3500 Little York Rd
Houston, TX 77093-3658

Phone 713-691-8400 · Fax 713-691-8402

Authorized official

Dolores T Castillo
President
7136918400

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