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Organization
THE IMUNIZATION CLINIC
Active
Organization
THE IMUNIZATION CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN A. SMILEY R.N. (ADMINISTRATOR/OWNER)
(281) 260-6600
Entity
Organization
Contact information
Practice address
440 BENMAR DR, SUITE 3020, HOUSTON, TX 77060-3165
(281) 260-6600
(281) 260-6603
Mailing address
440 BENMAR DR, SUITE 3020, HOUSTON, TX 77060-3165
(281) 260-6600
(281) 260-6603
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
559388
TX
251K00000X
Public Health or Welfare Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018056401
—
TX
05
—
174069801
—
TX
Enumeration date
10/19/2007
Last updated
01/06/2011
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