Organization
SELAM MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REDIET B ARAYA PAC (PROPRIETOR)
(562) 310-1270
Entity
Organization
Contact information
Practice address
6440 HILLCROFT ST STE 104, HOUSTON, TX 77081-3104
(562) 310-1270
(713) 929-3621
Mailing address
6440 HILLCROFT ST STE 104, HOUSTON, TX 77081-3104
(562) 310-1270
(713) 929-3621
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA06735
TX
Other
Enumeration date
02/23/2011
Last updated
03/03/2011
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