Organization
ATASCOCITA FIRST ER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAE MINDIOLA (OWNER)
(832) 877-8723
Entity
Organization
Contact information
Practice address
19143 W LAKE HOUSTON PKWY, ATASCOCITA, TX 77346-4800
(713) 955-2665
Mailing address
1233 YALE ST, HOUSTON, TX 77008-6959
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/14/2023
Last updated
11/02/2023
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