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Organization
CENTRUM MEDICAL HOLDINGS OF TEXAS, LLC
Active
Organization
CENTRUM MEDICAL HOLDINGS OF TEXAS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACIELA VANESSA VICTORERO (COO)
(305) 266-2929
Entity
Organization
Contact information
Practice address
1463 S MASON RD, KATY, TX 77450-4568
(305) 266-2929
(786) 558-0242
Mailing address
5730 SW 74TH ST STE 200, SOUTH MIAMI, FL 33143-5300
(305) 266-2929
(786) 558-0242
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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