Organization
MANAGEMENT AFFILIATES OF NORTHEAST HOUSTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY BUTLER (ADMINISTRATOR)
(281) 359-3223
Entity
Organization
Contact information
Practice address
22751 PROFESSIONAL DRIVE, SUITE 2100, KINGWOOD, TX 77339
(281) 359-3223
Mailing address
22751 PROFESSIONAL DRIVE, SUITE 2100, KINGWOOD, TX 77339-6005
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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