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Organization
PREMIER HOUSTON AREA FAMILY MEDICAL CLINICS
Active
Organization
PREMIER HOUSTON AREA FAMILY MEDICAL CLINICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIE D. MENGARELLI (CREDENTIALING)
(713) 946-6081
Entity
Organization
Contact information
Practice address
2211 A E. BROADWAY, PEARLAND, TX 77581
(281) 485-6144
(281) 485-6146
Mailing address
2211 A E. BROADWAY, PEARLAND, TX 77581
(281) 485-6144
(281) 485-6146
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F5827
TX
207RC0000X
Cardiovascular Disease Physician
F5827
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080069001
—
TX
Enumeration date
06/08/2006
Last updated
07/12/2010
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