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Organization

EASTEX MEDICAL CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ALEXEI N FOMINE (CEO)
(713) 859-6242
Entity
Organization

Contact information

Practice address
10769 EASTEX FWY, HOUSTON, TX 77093-4301
(713) 691-1276
(713) 691-7258
Mailing address
10769 EASTEX FWY, HOUSTON, TX 77093-4301
(713) 691-1276
(713) 691-7258

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
02/20/2012
Last updated
02/20/2012
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