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Organization
KMC CLINIC WILCREST
Active
Organization
KMC CLINIC WILCREST
Active
Parent organization
SABA ASAD ANSARI P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SABA ASAD ANSARI P.A.
Authorized official
REGGIE ABRAHAM (AUTHRORIZED OFFICIAL)
(281) 398-7778
Entity
Organization
Contact information
Practice address
11658 SOUTHWEST FWY, HOUSTON, TX 77031-3612
(281) 302-5121
(281) 302-6294
Mailing address
11658 SOUTHWEST FWY, HOUSTON, TX 77031-3612
(281) 302-5121
(281) 302-6294
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/29/2022
Last updated
08/04/2023
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