Organization
CLINIC OF THE EAST END ASSOCIATION
Active
Other names
EAST END MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CHANDRALATHA THOTA M.D. (MEDICAL OFFICER)
(713) 923-6627
Entity
Organization
Contact information
Practice address
906 WAYSIDE DR, HOUSTON, TX 77011-2518
(713) 923-6627
(713) 923-9383
Mailing address
906 WAYSIDE DR, HOUSTON, TX 77011-2518
(713) 923-6627
(713) 923-9383
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
082252001
—
TX
05
—
214554201
—
TX
05
—
214554202
—
TX
Enumeration date
04/17/2009
Last updated
10/01/2025
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