Organization
59 ACCIDENT CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXEI FOMINE (MANAGING MEMBER)
(713) 859-6242
Entity
Organization
Contact information
Practice address
5610 SOUTHWEST FWY, SUITE 101, HOUSTON, TX 77057
(713) 859-6242
Mailing address
5610 SOUTHWEST FWY, SUITE 101, HOUSTON, TX 77057
(713) 859-6242
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10296
TX
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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