Southwest Medical Clinic
Clinic/Center, Primary Care in Houston, TX. Organization (NPI-2).
NPI number1780997247
StatusActive
Last updated in NPPESApr 14, 2014
Details
- NPI
- 1780997247
- Entity type
- Organization (NPI-2)
- Legal business name
- Southwest Medical Clinic
- Organization subpart
- No
- Enumeration date
- Jul 26, 2010
- Last updated
- Apr 14, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | 801287765 | TX | Yes |
Practice location
11570 Bellaire BlvdHouston, TX 77072-2448
Phone 713-542-3664
Mailing address
11570 Bellaire BlvdHouston, TX 77072-2448
Phone 713-542-3664
Authorized official
Loc Tan Nguyen
President
7135423664
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