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Organization
ICU ASSOCIATES OF WEST HOUSTON
Active
Organization
ICU ASSOCIATES OF WEST HOUSTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY SHRADER (DIRECTOR OF MSA PROGRAMS)
(423) 580-1884
Entity
Organization
Contact information
Practice address
12141 RICHMOND AVE, HOUSTON, TX 77082-2408
(281) 558-3444
Mailing address
6000 FELDWOOD RD, LOCK BOX 741627, ATLANTA, GA 30349-3652
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
AP132181
TX
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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