Organization
ST. PATRICK MEDICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK OMOURYI LVN (ADMINISTER)
(713) 878-4661
Entity
Organization
Contact information
Practice address
4315 LOCKWOOD DR, SUITE 8, HOUSTON, TX 77026-4117
(713) 878-4661
(713) 748-7212
Mailing address
4315 LOCKWOOD DR, SUITE 8, HOUSTON, TX 77026-4117
(713) 878-4661
(713) 784-7211
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
208800000X
Urology Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
363AM0700X
Medical Physician Assistant
Primary
PA 0556
TX
Other
Enumeration date
03/04/2010
Last updated
03/04/2010
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