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Organization

HOUSTON ADVANCE MEDILINE CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. EMMANUEL M ANUSIEM OWNER (CEO)
(713) 669-0848
Entity
Organization

Contact information

Practice address
6550 MAPLERIDGE ST STE 214, HOUSTON, TX 77081-4647
(713) 669-0848
(713) 669-0648
Mailing address
6550 MAPLERIDGE ST STE 214, HOUSTON, TX 77081-4647
(713) 669-0848
(713) 669-0648

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
TX

Other

Enumeration date
04/09/2009
Last updated
04/09/2009
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