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Organization
NORTHSIDE MEDICAL CLINIC LLC
Active
Organization
NORTHSIDE MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE I GONZALEZ (ADMINISTRATOR)
(281) 477-7144
Entity
Organization
Contact information
Practice address
13211 WINDFERN RD STE C, HOUSTON, TX 77064-3096
(281) 477-7144
(281) 477-7448
Mailing address
4414 NORTH FWY STE 800, HOUSTON, TX 77022-3662
(713) 692-4200
(713) 692-2253
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
TX
Other
Enumeration date
01/31/2012
Last updated
01/31/2012
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