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Organization
MONTGOMERY COUNTY MANAGEMENT COMPANY, LLC
Active
Organization
MONTGOMERY COUNTY MANAGEMENT COMPANY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARROL CAGLE MD (MEDICAL DIRECTOR)
(936) 760-7832
Entity
Organization
Contact information
Practice address
9305 PINECROFT, THE WOODLANDS, TX 77380
(281) 943-2456
(281) 943-2453
Mailing address
9305 PINECROFT, THE WOODLANDS, TX 77380
(281) 943-2456
(281) 943-2453
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45C0001488
CCN
TX
01
—
P00816054
RAILROAD MEDICARE NUMBER
TX
Enumeration date
08/22/2008
Last updated
03/27/2012
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