Organization
SOUTHMORE SURGICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEVERLY JOYCE RANDALL-TILLIS (ADMINISTRATOR)
(713) 600-8919
Entity
Organization
Contact information
Practice address
1801 BINZ ST, SUITE 225, HOUSTON, TX 77004-7296
(713) 600-8919
Mailing address
1801 BINZ ST, SUITE 225, HOUSTON, TX 77004-7296
(713) 600-8919
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
TX
Other
Enumeration date
03/03/2016
Last updated
03/03/2016
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