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Organization
NORTHSIDE MEDICAL GROUP, INC
Active
Organization
NORTHSIDE MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHEDRIC COX (ADMINISTRATOR)
(713) 691-7993
Entity
Organization
Contact information
Practice address
5815 AIRLINE DR, SUITE D, HOUSTON, TX 77076-4922
(713) 691-7993
(888) 653-2561
Mailing address
5815 AIRLINE DR, SUITE D, HOUSTON, TX 77076-4922
(713) 691-7993
(888) 653-2561
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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