Organization
PROMEDIC ANCILLARY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMIR RAZA (PRESIDENT)
(832) 245-3635
Entity
Organization
Contact information
Practice address
802 HIGH RIDGE DR, FRIENDSWOOD, TX 77546-3676
(832) 245-3635
Mailing address
857 TRISTAR DR STE D, WEBSTER, TX 77598-1553
(832) 245-3635
Taxonomy
Speciality
Code
Description
License number
State
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
Primary
—
—
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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