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Organization
MEDICAL CLINIC AT THE RANCH PLLC
Active
Organization
MEDICAL CLINIC AT THE RANCH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIJAYA L DWIBHASHI MD (OWNER)
(281) 394-0093
Entity
Organization
Contact information
Practice address
9555 SPRING GREEN BLVD, SUITE H, KATY, TX 77494-3462
(281) 394-0093
(281) 371-0121
Mailing address
PO BOX 723, FULSHEAR, TX 77441-0723
(281) 394-0093
(281) 371-0121
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N3624
TX
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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