Organization
ESSENCE UNIVERSAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GIBSON AJUZIE (ADMINISTRATOR)
(281) 568-5975
Entity
Organization
Contact information
Practice address
10333 HARWIN DR, 200, HOUSTON, TX 77036-1545
(281) 568-5975
Mailing address
10333 HARWIN DR, 200, HOUSTON, TX 77036-1545
(281) 568-5975
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/12/2011
Last updated
02/14/2012
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