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Organization

OCCUPATIONAL MEDICINE OF LA PORTE P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GEORGE P. ASHBY M.D. (PRESIDENT)
(281) 842-1200
Entity
Organization

Contact information

Practice address
410 E FAIRMONT PKWY, SUITE A, LA PORTE, TX 77571-6498
(281) 842-1200
Mailing address
PO BOX 1518, LA PORTE, TX 77572-1518
(281) 842-1200
(281) 842-1203

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
H 4864
TX
2083X0100X
Occupational Medicine Physician
Primary
H4864
TX

Other

Enumeration date
03/29/2007
Last updated
09/18/2008
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