Organization
2234 WELLNESS CLINIC, LLC
Active
Organization
2234 WELLNESS CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT CAIN JR. PA-C (PHYSICIAN ASSISTANT)
(619) 871-3252
Entity
Organization
Contact information
Practice address
1110 TEXAS PARKWAY STE 600, STAFFORD, TX 77477
(281) 208-0000
(281) 261-5017
Mailing address
PO BOX 299, RICHMOND, TX 77406-0008
(281) 208-0000
(281) 261-5017
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
PA04517
TX
Other
Enumeration date
05/04/2010
Last updated
05/04/2010
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