410 San Antonio Development
Clinic/Center, Health Services in Houston, TX. Organization (NPI-2).
NPI number1609279751
StatusActive
Last updated in NPPESOct 3, 2014
Details
- NPI
- 1609279751
- Entity type
- Organization (NPI-2)
- Legal business name
- 410 San Antonio Development
- Organization subpart
- No
- Enumeration date
- Oct 3, 2014
- Last updated
- Oct 3, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QH0100X | Clinic/Center, Health Services | – | – | Yes |
Practice location
2000 Bagby StApt 13430
Houston, TX 77002-8587
Phone 214-295-6703
Mailing address
2000 Bagby StApt 13430
Houston, TX 77002-8587
Phone 214-295-6703
Authorized official
Adrianna Villarreal
Billing Manager
2142956703
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