Organization
MY URBAN CLINIC, INC
Active
Other names
My Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONEY E MEANS (PRESIDENT)
(713) 278-8710
Entity
Organization
Contact information
Practice address
215 N BROADWAY AVE, SALEM, IL 62881-1511
(618) 548-1700
(618) 548-1706
Mailing address
PO BOX 421472, HOUSTON, TX 77242-1472
(713) 278-8710
(713) 278-1910
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
TX
Other
Enumeration date
10/09/2007
Last updated
07/21/2022
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