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Organization
KATY SUPPORTIVE MEDICINE, P.A.
Active
Organization
KATY SUPPORTIVE MEDICINE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA PEREZ (OFFICE MANAGER)
(281) 665-4032
Entity
Organization
Contact information
Practice address
205 BELLA KATY DR, KATY, TX 77494-6821
(281) 665-4032
(281) 665-1206
Mailing address
21700 BELLAIRE BLVD, RICHMOND, TX 77407-3906
(281) 599-0300
(281) 599-7807
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
N6844
TX
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
N6844
TX
Other
Enumeration date
10/23/2014
Last updated
08/02/2022
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