Organization
A1MEDICAL
Active
Other names
A 1 MEDICAL
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TYSHA DETREESE RIDEAUX (ADMIN. DIRECTOR)
(713) 862-7010
Entity
Organization
Contact information
Practice address
1724 WEST LOOP N, HOUSTON, TX 77008-3006
(713) 862-7010
(713) 862-7079
Mailing address
1724 WEST LOOP N, HOUSTON, TX 77008-3006
(713) 862-7010
(713) 862-7079
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
—
—
Other
Enumeration date
12/10/2008
Last updated
01/10/2011
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