Center For Connective Tissue Disorders, LLC
Clinic/Center in Bellaire, TX. Organization (NPI-2).
NPI number1508607979
StatusActive
Last updated in NPPESJun 1, 2024
Details
- NPI
- 1508607979
- Entity type
- Organization (NPI-2)
- Legal business name
- Center For Connective Tissue Disorders, LLC
- Organization subpart
- No
- Enumeration date
- Jun 1, 2024
- Certification date
- May 30, 2024
- Last updated
- Jun 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
4747 Bellaire Blvd Ste 101Bellaire, TX 77401-4515
Phone 346-704-0055
Mailing address
5233 Bellaire Blvd # 278Bellaire, TX 77401-3901
Authorized official
Noa Yizhari
Ceo
3467040055
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