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Cadwalder Medical Management

Clinic/Center, Primary Care in Houston, TX. Organization (NPI-2).

NPI number1619081049
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1619081049
Entity type
Organization (NPI-2)
Legal business name
Cadwalder Medical Management
Organization subpart
No
Enumeration date
Aug 19, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2300X Clinic/Center, Primary Care––Yes

Practice location

1320 Quitman St
Houston, TX 77009-7936

Phone 713-227-8246 · Fax 713-222-0464

Mailing address

1320 Quitman St
Houston, TX 77009-7936

Phone 713-227-8246 · Fax 713-222-0464

Authorized official

Nathan D. Ingram
Administrator
7132278246

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