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Organization
VALLEY MEDICAL CLINIC, LLC
Active
Organization
VALLEY MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTOR OSAGIE (PRESIDENT)
(281) 877-0187
Entity
Organization
Contact information
Practice address
17567 IMPERIAL VALLEY DR, HOUSTON, TX 77060-6102
(281) 877-0187
(281) 877-0189
Mailing address
17567 IMPERIAL VALLEY DR, HOUSTON, TX 77060-6102
(281) 877-0187
(281) 877-0189
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXB140907
MEDICARE PTAN
TX
Enumeration date
05/31/2011
Last updated
01/13/2012
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