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Organization

CLIFFORD O. MISHAW, M.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CLIFFORD OWEN MISHAW M.D. (PRESIDENT)
(713) 796-8300
Entity
Organization

Contact information

Practice address
6410 FANNIN ST STE 410, HOUSTON, TX 77030-3005
(713) 796-8300
Mailing address
6410 FANNIN ST STE 410, HOUSTON, TX 77030-3005
(713) 796-8300

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
F4293
TX

Other

Enumeration date
05/19/2008
Last updated
05/19/2008
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