Organization
INFINITY DIVERSIFIED GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN TAYLOR (OWNER)
(346) 570-2625
Entity
Organization
Contact information
Practice address
12600 BISSONNET ST, HOUSTON, TX 77099-1337
(346) 570-2625
Mailing address
12600 BISSONNET ST, HOUSTON, TX 77099-1337
(346) 570-2625
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/05/2018
Last updated
07/19/2019
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