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Organization
SPACE CITY NP SERVICES
Active
Organization
SPACE CITY NP SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANESE REXROAD NP (NP)
(832) 692-4416
Entity
Organization
Contact information
Practice address
301 FALCON LAKE DR, FRIENDSWOOD, TX 77546-5465
(832) 692-4416
Mailing address
301 FALCON LAKE DR, FRIENDSWOOD, TX 77546-5465
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/04/2017
Last updated
12/04/2017
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