Organization
MOUNT CARMEL MEDICAL CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLESSY S JACOB DNP (MEDICAL DIRECTOR)
(832) 810-9521
Entity
Organization
Contact information
Practice address
11230 AIRLINE DR STE#1, HOUSTON, TX 77037-1116
(832) 810-9521
(855) 703-1949
Mailing address
11230 AIRLINE DR STE#1, HOUSTON, TX 77037-1116
(832) 810-9521
(855) 703-1949
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3153637
—
TX
05
—
4213043
—
TX
Enumeration date
07/09/2020
Last updated
05/30/2024
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