Organization
PHYSICIANS NETWORK ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LARNYA WALKER RN (REGIONAL DIRECTOR)
(832) 654-0055
Entity
Organization
Contact information
Practice address
1511 PRESTON ST, STISF: MEDICAL DEPARTMENT, HOUSTON, TX 77002-2131
(713) 223-0601
(713) 223-9519
Mailing address
1622 MAC DAVIS LN, LUBBOCK, TX 79401-2625
(806) 799-1326
(806) 795-1294
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
302R00000X
TX
Other
Enumeration date
10/09/2008
Last updated
10/09/2008
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