Organization
COVID-19 DIAGNOSTICS P INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNIECE BALLEZA (ADMINISTRATOR)
(713) 870-2581
Entity
Organization
Contact information
Practice address
11221 KATY FWY STE 105, HOUSTON, TX 77079-2105
(832) 641-9633
Mailing address
11221 KATY FWY STE 105, HOUSTON, TX 77079-2105
(713) 870-2581
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/24/2021
Last updated
02/03/2022
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