Organization
KIRKWOOD MEDICAL SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BANG BA CHU M.D. (OWNER)
(713) 777-1508
Entity
Organization
Contact information
Practice address
9100 SOUTHWEST FWY, 215, HOUSTON, TX 77074-1519
(713) 777-1508
(713) 777-1509
Mailing address
9100 SOUTHWEST FWY STE 215, HOUSTON, TX 77074-1513
(713) 777-1508
(713) 777-1509
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
261Q00000X
Clinic/Center
F1361
TX
Other
Enumeration date
12/21/2011
Last updated
11/08/2013
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