Organization
EXTRA CARE PHP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD TURNER (PRESIDENT)
(281) 888-6933
Entity
Organization
Contact information
Practice address
10101 BISSONNET ST STE 120, HOUSTON, TX 77036-7855
(281) 888-6933
(281) 888-6905
Mailing address
10101 BISSONNET ST STE 120, HOUSTON, TX 77036-7855
(281) 888-6933
(281) 888-6905
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
03/30/2011
Last updated
03/30/2011
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