Organization
M&M CLINICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REHAN MEMON MD (OWNER)
(713) 369-1969
Entity
Organization
Contact information
Practice address
10021 MAIN ST, B3, HOUSTON, TX 77025-5224
(713) 369-1969
Mailing address
10021 MAIN ST, SUITE B3, HOUSTON, TX 77025-5224
(713) 369-1969
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
P6037
TX
207LA0401X
Addiction Medicine (Anesthesiology) Physician
P6037
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
P6037
TX
2084P0804X
Child & Adolescent Psychiatry Physician
P3036
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
P3036
—
TX
05
—
P6037
—
TX
Enumeration date
09/08/2014
Last updated
09/21/2015
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