# EAST END MEDICAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437240413
- **Authorized official:** MRS. CHANDRALATHA THOTA MD (OFFICER)
- **Authorized official phone:** (713) 921-6627

## Contact information

- **Practice address:** 906 WAYSIDE DR, HOUSTON, TX 77011-2518
- **Practice address phone:** (713) 923-6627
- **Practice address fax:** (713) 923-9383
- **Mailing address:** 906 WAYSIDE DR, HOUSTON, TX 77011-2518

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 09/27/2006
- **Last updated:** 10/02/2014