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Organization
SPO FAMILY CARE MEDICAL CLINIC LLC
Active
Organization
SPO FAMILY CARE MEDICAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES AHAIWE (OWNER)
(713) 562-3195
Entity
Organization
Contact information
Practice address
14215 S POST OAK RD, HOUSTON, TX 77045-5233
(713) 433-4536
(713) 433-6708
Mailing address
14215 S POST OAK RD, HOUSTON, TX 77045-5233
(713) 433-4536
(713) 433-6708
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
J4168
TX
Other
Enumeration date
01/26/2011
Last updated
10/05/2011
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