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Organization

MPP MSO PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VALARIE DOUGLAS (ADMINISTRATOR)
(336) 856-8011
Entity
Organization

Contact information

Practice address
550 WESTCOTT ST, SUITE 520, HOUSTON, TX 77007-9015
(336) 864-6694
Mailing address
550 WESTCOTT ST, SUITE 520, HOUSTON, TX 77007-9015
(336) 864-6694

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Q228
TX
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Q228
TX
2084P0800X
Psychiatry Physician
Primary
H4183
TX
2084P0802X
Addiction Psychiatry Physician
P3036
TX
2084P0804X
Child & Adolescent Psychiatry Physician
H4516
TX
208VP0000X
Pain Medicine Physician
P3036
TX
291U00000X
Clinical Medical Laboratory
TX
363LF0000X
Family Nurse Practitioner
626781
TX

Other

Enumeration date
10/07/2015
Last updated
10/22/2015
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