Organization
MDDRIP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AYESHA MCCOY MD (OWNER)
(832) 583-7264
Entity
Organization
Contact information
Practice address
21853 LOST MDW, NEW CANEY, TX 77357-4737
(832) 583-7264
Mailing address
21853 LOST MDW, NEW CANEY, TX 77357-4737
(832) 583-7264
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/03/2021
Last updated
08/05/2021
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