Organization
PRI-MED FAMILY & PEEDIATRIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA N KANU RN, MSN, FNP-C (ADMINISTRATOR)
(713) 303-9064
Entity
Organization
Contact information
Practice address
12221 S KIRKWOOD RD, SUITE 100, STAFFORD, TX 77477-3044
(713) 303-9064
Mailing address
12221 S KIRKWOOD RD, STAFFORD, TX 77477-3044
(713) 303-9064
(713) 641-6601
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
595403
TX
Other
Enumeration date
05/13/2011
Last updated
05/13/2011
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