Organization
STATE DIAGNOSTIC CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ESSAYAS T MICHAEL (MEMBER)
(202) 290-4282
Entity
Organization
Contact information
Practice address
13111 WESTHEIMER RD, SUITE #212, HOUSTON, TX 77077-5546
(832) 230-3804
(832) 230-3839
Mailing address
13111 WESTHEIMER RD, SUITE #212, HOUSTON, TX 77077-5546
(832) 230-3804
(832) 230-3839
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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