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Organization
SOUTH FORK MANAGEMENT AND CONSULTING LLC
Active
Organization
SOUTH FORK MANAGEMENT AND CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORETTA WORSHAM (ADMINISTRATOR)
(281) 319-4910
Entity
Organization
Contact information
Practice address
20185 US HIGHWAY 59, STE 78A, NEW CANEY, TX 77357-8358
(281) 319-4910
(281) 913-0358
Mailing address
20185 US HIGHWAY 59, STE 78A, NEW CANEY, TX 77357-8358
(281) 319-4910
(281) 913-0358
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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