Organization
HOUSTON SOUTHWEST COLON AND RECTAL CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KONYA KAVITA KEELING-JOHNSON MD (OWNER)
(281) 615-9297
Entity
Organization
Contact information
Practice address
1400 CREEK WAY DR, SUITE 100, SUGAR LAND, TX 77478-4072
(281) 615-9297
Mailing address
1400 CREEK WAY DR, SUITE 100, SUGAR LAND, TX 77478-4072
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
P2469
TX
Other
Enumeration date
12/24/2013
Last updated
12/24/2013
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