Organization
ICU ASSOCIATES OF WEST HOUSTON PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LAVERTY (AUTHORIZED OFFICIAL)
(615) 507-2312
Entity
Organization
Contact information
Practice address
12141 RICHMOND AVE, HOUSTON, TX 77082-2408
(713) 812-1550
Mailing address
12141 RICHMOND AVE, HOUSTON, TX 77082-2408
(713) 812-1550
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
03/25/2015
Last updated
08/24/2021
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