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Organization
SPRING SHADOWS MEDICAL CLINIC
Active
Organization
SPRING SHADOWS MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUBEENA AYESHA N.P. (OWNER)
(917) 538-9431
Entity
Organization
Contact information
Practice address
2549 GESSNER RD, HOUSTON, TX 77080-3801
(917) 538-9431
Mailing address
2549 GESSNER RD, HOUSTON, TX 77080-3801
(917) 538-9431
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
827700
TX
Other
Enumeration date
07/14/2014
Last updated
08/22/2014
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