Organization
COLON & RECTAL CLINIC, P. A.
Active
Organization
COLON & RECTAL CLINIC, P. A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERNEST MAX M.D. (CEO)
(713) 790-9250
Entity
Organization
Contact information
Practice address
6550 FANNIN ST, STE 2307, HOUSTON, TX 77030-2717
(713) 790-9250
(713) 790-9251
Mailing address
6550 FANNIN ST, STE 2307, HOUSTON, TX 77030-2717
(713) 790-9250
(713) 790-9251
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121688902
—
TX
Enumeration date
08/24/2005
Last updated
05/17/2011
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