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Organization
REHOBOTH MEDICAL CENTER PLLC
Active
Organization
REHOBOTH MEDICAL CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STELLA GRACE IMMANUEL MD (MEDICAL DIRECTOR)
(281) 506-7412
Entity
Organization
Contact information
Practice address
25231 ROESNER LN, KATY, TX 77494-5537
(281) 506-7412
(281) 530-2882
Mailing address
25231 ROESNER LN, KATY, TX 77494-5537
(281) 506-7412
(281) 530-2882
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Enumeration date
11/05/2019
Last updated
11/22/2019
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