Organization
I 45 MEDICAL CLINIC, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANGELO SOTO (OWNER)
(713) 699-0900
Entity
Organization
Contact information
Practice address
4141 NORTH FWY, SUITE # 100, HOUSTON, TX 77022-4208
(713) 699-0900
(713) 699-0903
Mailing address
4141 NORTH FWY, SUITE # 100, HOUSTON, TX 77022-4208
(713) 699-0900
(713) 699-0903
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
TX
Other
Enumeration date
06/21/2010
Last updated
06/21/2010
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