Organization
INCLUSIVE CLINICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMEON TRYON (OPERATIONS OFFICER)
(832) 946-7919
Entity
Organization
Contact information
Practice address
6550 MAPLERIDGE ST, 117, HOUSTON, TX 77081-4600
(832) 649-7919
Mailing address
6550 MAPLERIDGE ST, 115, HOUSTON, TX 77081-4600
(832) 649-7919
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
801927576
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
359149
PTN
TX
Enumeration date
05/13/2014
Last updated
02/12/2016
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