Organization
713 LOVES PLLC
Active
Other names
713 Loves
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JACKSON (DIRECTOR)
(310) 350-8180
Entity
Organization
Contact information
Practice address
1110 TEXAS PKWY STE 600, STAFFORD, TX 77477-6497
(281) 499-2399
Mailing address
1110 TEXAS PKWY STE 600, STAFFORD, TX 77477-6497
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/12/2021
Last updated
08/25/2021
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