Organization
CEENEYA NYEBA MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY RANDALL TILLIS (DIRECTOR BUSINESS OFFICE)
(713) 355-8600
Entity
Organization
Contact information
Practice address
4120 SW FWY, SUITE 200, HOUSTON, TX 77027-7339
(713) 355-8600
Mailing address
PO BOX 4356, HOUSTON, TX 77210-4356
(713) 355-8600
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/23/2009
Last updated
04/23/2009
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