Organization
UT PHYSICIANS CHOSEN CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW R CASAS (VICE PRESIDENT)
(832) 325-7317
Entity
Organization
Contact information
Practice address
6410 FANNIN ST, 720, HOUSTON, TX 77030-3000
(832) 325-7298
Mailing address
PO BOX 301173, DALLAS, TX 75303-1173
(713) 500-3500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181590401
—
TX
Enumeration date
01/18/2007
Last updated
12/05/2016
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