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Organization

WEST BELLFORT LLC

Active
Other names
Clinica Rosa
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SANDRA ANN SHIRAH (CRED SUP)
(281) 646-1935
Entity
Organization

Contact information

Practice address
900 WAYSIDE, HOUSTON, TX 77011-2518
(713) 921-7246
(713) 921-7249
Mailing address
900 WAYSIDE, HOUSTON, TX 77011-2518
(281) 646-1935
(281) 646-0927

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
F6356
TX
261QM1300X
Multi-Specialty Clinic/Center

Other

Enumeration date
12/10/2007
Last updated
06/17/2008
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