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Organization
1920 MEDICAL CENTER
Active
Organization
1920 MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARLA GUICE (MARLA)
(331) 305-2813
Entity
Organization
Contact information
Practice address
1000 JORIE BLVD, SUITE 370, OAK BROOK, IL 60523-2214
(330) 305-2813
Mailing address
1920 COUNTRY PLACE PKWY, SUITE 342, PEARLAND, TX 77584-2282
Taxonomy
Speciality
Code
Description
License number
State
208VP0000X
Pain Medicine Physician
Primary
—
—
Other
Enumeration date
08/30/2016
Last updated
12/07/2016
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