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Organization
MD MEDICAL MANAGEMENT LLC
Active
Organization
MD MEDICAL MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OFFICE CREDENTIALIN (CREDENTIALING OFFICER)
(832) 623-5583
Entity
Organization
Contact information
Practice address
1140 WESTMONT DR STE 515, HOUSTON, TX 77015-4365
(832) 623-5583
(832) 802-6171
Mailing address
1140 WESTMONT DR STE 515, HOUSTON, TX 77015-4365
(832) 623-5583
(832) 623-6939
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
J3003
TX
Other
Enumeration date
11/22/2017
Last updated
03/30/2023
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