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Organization
WEST BELLFORT LLC
Active
Organization
WEST BELLFORT LLC
Active
Other names
Clinica Rosa
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA ANN SHIRAH (CRED SUP)
(281) 646-1935
Entity
Organization
Contact information
Practice address
900 WAYSIDE, HOUSTON, TX 77011-2518
(713) 921-7246
(713) 921-7249
Mailing address
900 WAYSIDE, HOUSTON, TX 77011-2518
(281) 646-1935
(281) 646-0927
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
F6356
TX
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
Other
Enumeration date
12/10/2007
Last updated
06/17/2008
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