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Organization
IDEAL CARE HEALTH MANAGEMENT LLC
Active
Organization
IDEAL CARE HEALTH MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISET AVALOS ENRIQUEZ MD (MEDICAL DIRECTOR)
(713) 287-0924
Entity
Organization
Contact information
Practice address
1315 W GRAND PKWY S STE 104, KATY, TX 77494-8290
(713) 287-0924
Mailing address
1315 W GRAND PKWY S STE 104, KATY, TX 77494-8290
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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