# SOUTH FORK MANAGEMENT AND CONSULTING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982943437
- **Authorized official:** MS. LORETTA WORSHAM (ADMINISTRATOR)
- **Authorized official phone:** (281) 319-4910

## Contact information

- **Practice address:** 20185 US HIGHWAY 59, STE 78A, NEW CANEY, TX 77357-8358
- **Practice address phone:** (281) 319-4910
- **Practice address fax:** (281) 913-0358
- **Mailing address:** 20185 US HIGHWAY 59, STE 78A, NEW CANEY, TX 77357-8358
- **Mailing address phone:** (281) 319-4910
- **Mailing address fax:** (281) 913-0358

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/04/2013
- **Last updated:** 02/04/2013