Organization
INTERSTATE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA VAZQUEZ (OWNER)
(281) 598-7633
Entity
Organization
Contact information
Practice address
181 W DYNA DR, SUITE G, HOUSTON, TX 77037-1102
(281) 598-7633
(281) 598-7635
Mailing address
181 W DYNA DR, SUITE G, HOUSTON, TX 77037-1102
(281) 598-7633
(281) 598-7635
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/19/2007
Last updated
10/19/2007
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