Organization
CYPRESSWOOD CLINIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KOKI SHAH (MANAGER)
(713) 699-6202
Entity
Organization
Contact information
Practice address
5990 AIRLINE DR, STE 160, HOUSTON, TX 77076-4233
(713) 695-9947
(713) 695-8053
Mailing address
PO BOX 111849, HOUSTON, TX 77293-0849
(713) 695-9947
(713) 695-8053
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
82G132
BCBS
TX
Enumeration date
08/10/2006
Last updated
08/22/2020
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