Organization
SDLDM, INC DBA PASSPORT HEALTH HOUSTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH LINDSAY MEDELLIN (OWNER/EXECUTIVE DIRECTOR)
(713) 467-6575
Entity
Organization
Contact information
Practice address
9601 KATY FWY, SUITE 315, HOUSTON, TX 77024-1342
(713) 467-6575
(713) 467-6881
Mailing address
9601 KATY FWY STE 315, HOUSTON, TX 77024-1360
(713) 467-6575
(713) 467-6881
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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