# WESTHEIMER MEDICAL GROUP PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194295030
- **Authorized official:** MRS. NICOLA ABIOLA AJAYI RN (ADMINISTRATOR)
- **Authorized official phone:** (713) 360-6336

## Contact information

- **Practice address:** 5433 WESTHEIMER RD STE 275, HOUSTON, TX 77056-5331
- **Practice address phone:** (713) 360-6336
- **Practice address fax:** (713) 360-6514
- **Mailing address:** 5433 WESTHEIMER RD STE 275, HOUSTON, TX 77056-5331
- **Mailing address phone:** (713) 360-6336
- **Mailing address fax:** (713) 360-6514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/04/2018
- **Last updated:** 03/06/2019
