Organization
BAY AREA TOTAL HEALTH MEDICAL GRP, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SANDRA A RODRIGUEZ CREDENTIALING ADMIN (CREDENTIALING ADMIN)
(832) 683-4132
Entity
Organization
Contact information
Practice address
333 N TEXAS AVE, STE 4100, WEBSTER, TX 77598
(832) 984-6549
(281) 338-7755
Mailing address
333 N TEXAS AVE, STE 4100, WEBSTER, TX 77598
(832) 984-6549
(281) 338-7755
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
P8427
TX
207R00000X
Internal Medicine Physician
K5285
TX
261QP2300X
Primary Care Clinic/Center
Primary
K5285
TX
Other
Enumeration date
09/11/2009
Last updated
03/05/2024
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