Organization
HOUSTON INTENSIVE CARE MEDICINE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIA QUINTANILLA (ADMINISTRATOR)
(281) 484-9369
Entity
Organization
Contact information
Practice address
11920 ASTORIA BLVD STE 320, HOUSTON, TX 77089-6097
(281) 484-9369
Mailing address
11920 ASTORIA BLVD STE 320, HOUSTON, TX 77089-6097
(281) 484-9369
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
06/20/2014
Last updated
06/20/2014
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