Organization
MIDWEST FAMILY PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE MARIE GINES (CLINIC DIRECTOR)
(682) 554-4600
Entity
Organization
Contact information
Practice address
4000 DOVER ST, SUITE 1, HOUSTON, TX 77087-4626
(281) 904-9113
Mailing address
4000 DOVER ST, SUITE 1, HOUSTON, TX 77087-4626
(281) 904-9113
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2009
Last updated
11/16/2009
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