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Organization

PRIMER FAMILY CLINIC

Active
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Organization

PRIMER FAMILY CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CYNTHIA DIANE GOODMAN M.D. (MEDICAL DIRECTOR)
(281) 447-4600
Entity
Organization

Contact information

Practice address
7715 STUEBNER AIRLINE RD, SUITE D, HOUSTON, TX 77088-6367
(281) 447-4600
(281) 447-4601
Mailing address
7715 STUEBNER AIRLINE RD, SUITE D, HOUSTON, TX 77088-6367
(281) 447-4600
(281) 447-4601

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J1640
TX

Other

Enumeration date
12/27/2012
Last updated
12/27/2012
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