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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