Atascocita Primary Care, PA
Clinic/Center in Humble, TX. Organization (NPI-2).
NPI number1619954799
StatusActive
Last updated in NPPESJul 11, 2015
Details
- NPI
- 1619954799
- Entity type
- Organization (NPI-2)
- Legal business name
- Atascocita Primary Care, PA
- Organization subpart
- No
- Enumeration date
- Dec 29, 2005
- Last updated
- Jul 11, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | K5556 | TX | Yes |
Other names
- Atascocita Primary Care, PA (Doing Business As)
Practice location
18700 W Lake Houston PkwySte A104
Humble, TX 77346-3349
Phone 281-852-9500 · Fax 281-852-9755
Mailing address
18700 W Lake Houston PkwySte A104
Humble, TX 77346-3349
Phone 281-852-9500 · Fax 281-852-9755
Authorized official
Huong Quynh Hoang
President
2818529500
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