Organization
WEST FORK MANAGEMENT AND CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORETTA WORSHAM (OWNER)
(281) 446-3069
Entity
Organization
Contact information
Practice address
20185 US HIGHWAY 59 STE 78B, NEW CANEY, TX 77357-8358
(832) 543-5032
(281) 913-0358
Mailing address
20185 US HIGHWAY 59 STE 78B, NEW CANEY, TX 77357-8358
(832) 543-5032
(281) 399-5677
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
333600000X
Pharmacy
Primary
—
—
Other
Enumeration date
03/14/2013
Last updated
12/14/2018
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