Organization
PRIME RHEUMATOLOGY CLINIC OF HOUSTON PLLC
Active
Organization
PRIME RHEUMATOLOGY CLINIC OF HOUSTON PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GWENDOLINE MENGA M.D. (SOLE MBR)
(832) 821-5550
Entity
Organization
Contact information
Practice address
17191 ST LUKES WAY, STE 220, THE WOODLANDS, TX 77384-8042
(832) 821-5550
(936) 207-4109
Mailing address
17191 ST LUKES WAY, STE 220, THE WOODLANDS, TX 77384-8042
(832) 821-5550
(936) 207-4109
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
N8040
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DV7370
RR MEDICARE
TX
Enumeration date
04/08/2015
Last updated
10/22/2015
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