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Organization
PROSPERITY IPA
Active
Organization
PROSPERITY IPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOHAMMAD HUSSAIN (DIRECTOR)
(716) 909-6965
Entity
Organization
Contact information
Practice address
21301 KUYKENDAHL RD STE J, SPRING, TX 77379-2614
(716) 909-6965
Mailing address
2626 COUCH ST, HOUSTON, TX 77008-1636
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/02/2022
Last updated
12/09/2022
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