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Organization

PROFESSIONAL MEDICAL & SURGICAL CLINIC ASSOCIATION

Active
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Organization

PROFESSIONAL MEDICAL & SURGICAL CLINIC ASSOCIATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTOPHER S. ANGELO D.O. (PRESIDENT)
(713) 863-1555
Entity
Organization

Contact information

Practice address
1740 W 27TH ST, HOUSTON, TX 77008-1433
(713) 863-1555
Mailing address
1740 W 27TH ST #221, HOUSTON, TX 77008
(713) 863-1555

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
D5589
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103693101
—
TX
01
—
8A1910
BCBS
TX
Enumeration date
06/04/2006
Last updated
02/24/2014
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