Organization
CANOPY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PILAR URIBE (ADMINISTRATOR)
(832) 314-5362
Entity
Organization
Contact information
Practice address
15201 E. FREEWAY SERVICE RD, SUITE #103, CHANNELVIEW, TX 77530
(800) 233-3407
(325) 400-1687
Mailing address
363 N SAM HOUSTON PKWY E STE 1100, HOUSTON, TX 77060-2413
(800) 233-3407
(325) 400-1687
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
—
—
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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