Organization
I45 MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARLA GUICE (MANAGER)
(331) 305-2813
Entity
Organization
Contact information
Practice address
17350 ST LUKES WAY, SUITE 370, THE WOODLANDS, TX 77384-4100
(331) 305-3813
Mailing address
17350 ST LUKES WAY, SUITE 370, THE WOODLANDS, TX 77384-4100
(331) 305-2813
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
02/26/2016
Last updated
12/07/2016
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