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Organization
PRI-MED FAMILY CLINIC & WELLNESS CENTER
Active
Organization
PRI-MED FAMILY CLINIC & WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA O KANU MSN, APN, FNP-C (ADMINISTRATOR)
(713) 303-9064
Entity
Organization
Contact information
Practice address
12221 S KIRKWOOD RD, STAFFORD, TX 77477-3044
(713) 303-9064
Mailing address
12221 S KIRKWOOD RD, STAFFORD, TX 77477-3044
(713) 303-9064
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
595403
TX
Other
Enumeration date
04/07/2011
Last updated
04/07/2011
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