Organization
FIETUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TORY CRAWFORD (EXECUTIVE DIRECTOR)
(832) 407-5151
Entity
Organization
Contact information
Practice address
5847 SAN FELIPE ST STE 1700, HOUSTON, TX 77057-3073
(832) 407-5151
Mailing address
5847 SAN FELIPE PLAZA,STE 1700, HOUSTON, TX 77057
(832) 407-5151
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
05/04/2015
Last updated
05/04/2015
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