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Organization
WEST GRAY PROPERTIES, LLC
Active
Organization
WEST GRAY PROPERTIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO QUINTANILLA MD (PRESIDENT)
(713) 660-0001
Entity
Organization
Contact information
Practice address
5302 BELLAIRE BLVD, BELLAIRE, TX 77401-3904
(713) 660-0001
(509) 463-2265
Mailing address
5302 BELLAIRE BLVD, BELLAIRE, TX 77401-3904
(713) 660-0001
(509) 463-2265
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G5506
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B267149
UPIN
TX
01
—
G5506
LICENCE NO
TX
Enumeration date
02/22/2012
Last updated
02/22/2012
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