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Organization
VILLAGEMD OF SOUTHEAST TEXAS, PA
Active
Organization
VILLAGEMD OF SOUTHEAST TEXAS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYCE COUCHE (CREDENTIALING MANAGER)
(713) 461-2915
Entity
Organization
Contact information
Practice address
9055 KATY FWY STE 200, HOUSTON, TX 77024-1629
(346) 646-4954
(713) 461-5307
Mailing address
PO BOX 20771, BELFAST, ME 04915-4104
(713) 461-2915
(713) 461-5307
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
2084N0400X
Neurology Physician
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
225100000X
Physical Therapist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
07/19/2016
Last updated
06/05/2026
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