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Organization

SUNCOAST MEDICAL GROUP INC

Active
Other names
SunCoast Medical Care
Organization subpart
No

Provider details

NPI number
Authorized official
ONYINYE AGIM M.D. (PHYSICIAN / OWNER)
(713) 541-0095
Entity
Organization

Contact information

Practice address
8314 SOUTHWEST FWY, HOUSTON, TX 77074-1603
(713) 541-0095
Mailing address
8314 SOUTHWEST FWY, HOUSTON, TX 77074-1603
(713) 541-0095

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
N2360
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3074858
TX
Enumeration date
11/19/2011
Last updated
02/24/2016
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