Organization
LC MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHASONIQUE MCNEAL-WILLIAMS (OWNER)
(832) 420-8328
Entity
Organization
Contact information
Practice address
15606 PEBBLE BEND DR, HOUSTON, TX 77068-1846
(832) 420-8328
Mailing address
15606 PEBBLE BEND DR, HOUSTON, TX 77068-1846
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
04/10/2011
Last updated
04/10/2011
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