Organization
SOUTHWEST SIDS RESEARCH INSTITUTE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD A HARDOIN M.D. (MEDICAL DIRECTOR)
(979) 299-2814
Entity
Organization
Contact information
Practice address
230 PARKING WAY ST, LAKE JACKSON, TX 77566-5227
(979) 297-2101
(979) 297-6682
Mailing address
230 PARKING WAY ST, LAKE JACKSON, TX 77566-5227
(979) 297-2101
(979) 297-6682
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
093684101
—
TX
Enumeration date
03/20/2006
Last updated
08/28/2012
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