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Organization
ONE SOURCE MEDIC-CLINIC, P.A.
Active
Organization
ONE SOURCE MEDIC-CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMMAD AHMED M.D. (DIRECTOR)
(281) 839-7244
Entity
Organization
Contact information
Practice address
2802 GARTH RD, SUITE 211, BAYTOWN, TX 77521-3900
(281) 839-7244
(281) 839-7374
Mailing address
2802 GARTH RD, SUITE 211, BAYTOWN, TX 77521-3900
(281) 839-7244
(281) 839-7374
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
N7047
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N7047
LICENSE
TX
Enumeration date
08/22/2011
Last updated
08/22/2011
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