Individual
WESTON GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
7877 WILLOW CHASE BLVD, HOUSTON, TX 77070-5934
(832) 869-4818
Mailing address
506 6TH ST, BROOKLYN, NY 11215-3609
(718) 780-3000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
U4518
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/22/2021
Last updated
07/14/2023
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