Organization
PRO MEDICAL CLINIC
Active
Organization
PRO MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORIE AGUILAR (CLINIC SUPERVISOR)
(713) 981-6151
Entity
Organization
Contact information
Practice address
6306 GULFTON ST STE 101, HOUSTON, TX 77081-1117
(713) 981-6151
(832) 433-7861
Mailing address
6306 GULFTON ST STE 101, HOUSTON, TX 77081-1117
(713) 981-6151
(832) 433-7861
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G1581
TX
207L00000X
Anesthesiology Physician
Primary
—
—
363A00000X
Physician Assistant
PA05426
TX
363LF0000X
Family Nurse Practitioner
690022
TX
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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