Organization
MEDSOURCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SYLVIA BOARDS (OWNER)
(713) 532-7311
Entity
Organization
Contact information
Practice address
1630 HILTON HEAD DR, MISSOURI CITY, TX 77459-3420
(713) 532-7311
(713) 532-7399
Mailing address
1630 HILTON HEAD DR, MISSOURI CITY, TX 77459-3420
(713) 532-7311
(713) 532-7399
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
007971
TX
Other
Enumeration date
12/14/2007
Last updated
12/14/2007
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