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Organization

UT PHYSICIANS

Active
Other names
UT Physicians Community Health & Wellness Center -Southwest
Organization subpart
No

Provider details

NPI number
Authorized official
MR. FAHAD KAMAL MBA,MS, CLSSGB (PRACTICE ADMINISTRATOR)
(713) 486-5915
Entity
Organization

Contact information

Practice address
10623 BELLAIRE BLVD, SUITE C280, HOUSTON, TX 77072-5242
(713) 486-5900
(713) 486-5901
Mailing address
10623 BELLAIRE BLVD, SUITE C280, HOUSTON, TX 77072-5242
(713) 486-5900
(713) 486-5901

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1073811832
TX
05
1194919027
TX
05
1225299753
TX
05
1407248149
TX
05
1457775058
TX
Enumeration date
08/10/2016
Last updated
08/10/2016
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