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Organization
SOUTH MAIN MEDICAL CLINIC
Active
Organization
SOUTH MAIN MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER WANGURI (PRESIDENT)
(713) 668-1166
Entity
Organization
Contact information
Practice address
10021 S MAIN ST, SUITE B3, HOUSTON, TX 77025-5224
(713) 668-1166
(713) 668-8159
Mailing address
10021 S MAIN ST, SUITE B3, HOUSTON, TX 77025-5224
(713) 668-1166
(713) 668-8159
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
10/22/2010
Last updated
10/22/2010
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