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Organization
PHOENIX MEDICAL & WELLNESS CLINIC, PLLC
Active
Organization
PHOENIX MEDICAL & WELLNESS CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANASTANSIA MONAYP RATEMO FNP (MANAGING DIRECTOR)
(469) 579-7020
Entity
Organization
Contact information
Practice address
12240 MURPHY RD STE A, STAFFORD, TX 77477-2411
(281) 721-2918
(346) 342-1941
Mailing address
18 LA SERRA PATH, MISSOURI CITY, TX 77459-1779
(469) 579-7020
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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