Organization
THE MENNINGER CLINIC
Active
Organization
THE MENNINGER CLINIC
Active
Parent organization
THE MENNINGER CLINIC
Other names
Outpatient Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE MENNINGER CLINIC
Authorized official
MR. ANTONIO GAGLIO MBA CPA (CFO)
(713) 275-5004
Entity
Organization
Contact information
Practice address
12301 MAIN ST, HOUSTON, TX 77035-6207
(713) 275-5000
(713) 275-5105
Mailing address
12301 MAIN ST, HOUSTON, TX 77035-6207
(713) 275-5000
(713) 275-5105
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
2292122921
TX
Other
Enumeration date
12/07/2016
Last updated
12/07/2016
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