Organization
KKT MEDICAL, PLLC
Active
Other names
Prime Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL THANH NGUYEN M.D. (DIRECTOR)
(832) 858-1998
Entity
Organization
Contact information
Practice address
2615 STRAWBERRY ROAD, PASADENA, TX 77502
(281) 501-0705
Mailing address
2615 STRAWBERRY ROAD, PASADENA, TX 77502
(281) 501-0705
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
M3667
TX
Other
Enumeration date
11/23/2010
Last updated
11/23/2010
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