Organization
MEDILINE WELLNESS AND DIAGNASTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMMANUEL M LORD MR (ADMINISRATOR)
(713) 669-0848
Entity
Organization
Contact information
Practice address
6550 MAPLERIDGE STREET #214, HOUSTON, TX 77081
(713) 669-0848
(713) 669-0648
Mailing address
6550 MAPLERIDGE ST STE 214, HOUSTON, TX 77081-4647
(713) 669-0438
(713) 669-0648
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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