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Organization
SELECT SENIOR CLINIC AT AIRLINE LLC
Active
Organization
SELECT SENIOR CLINIC AT AIRLINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CLARETTA D SAMPSON (PRACTICE MANAGER)
(713) 234-7384
Entity
Organization
Contact information
Practice address
5815 AIRLINE DR, SUITE A, HOUSTON, TX 77076-4922
(713) 691-4400
(713) 691-4410
Mailing address
5815 AIRLINE DR, SUITE A, HOUSTON, TX 77076-4922
(713) 691-4400
(713) 691-4410
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G4384
TX
Other
Enumeration date
06/18/2009
Last updated
06/18/2009
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