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Organization
MAGNOLIA FIRST FAMILY MEDICINE P.A.
Active
Organization
MAGNOLIA FIRST FAMILY MEDICINE P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN D BURTON M.D. (PRESIDENT,CEO)
(713) 520-5450
Entity
Organization
Contact information
Practice address
2200 SOUTHWEST FWY, SUITE333, HOUSTON, TX 77098-4710
(713) 520-5450
(713) 520-5458
Mailing address
2200 SOUTHWEST FWY, SUITE333, HOUSTON, TX 77098-4710
(713) 520-5450
(713) 520-5458
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
169962101
—
TX
Enumeration date
09/06/2006
Last updated
12/13/2012
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