Organization
C HOUSTON, INC
Active
Other names
Evolve
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLE JACKSON HOUSTON MD (MD/PRESIDENT)
(435) 229-8321
Entity
Organization
Contact information
Practice address
4033 3RD AVE STE 400, SAN DIEGO, CA 92103-2140
(888) 883-8658
(888) 606-1317
Mailing address
7459 BOOKHAM CT, SAN DIEGO, CA 92111-6734
(435) 229-8321
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/07/2019
Last updated
07/02/2020
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