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Organization
TOTAL HEALTH CLINIC INC
Active
Organization
TOTAL HEALTH CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ANTHONY WOODS SR. (EXECUTIVE DIRECTOR)
(281) 277-8396
Entity
Organization
Contact information
Practice address
4611 S MAIN ST, STE. #7, STAFFORD, TX 77477-4731
(281) 277-8396
(281) 313-0590
Mailing address
4611 S MAIN ST, STE. #7, STAFFORD, TX 77477-4731
(281) 277-8396
(281) 313-0590
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
15405
TX
208D00000X
General Practice Physician
Primary
C4177
TX
208VP0014X
Interventional Pain Medicine Physician
C4177
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1685075
—
TX
Enumeration date
05/08/2006
Last updated
11/14/2007
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