Organization
WEST HOUSTON PRIMARY CARE PA
Active
Organization
WEST HOUSTON PRIMARY CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TESFAMARIAM M TEDLA MD (PHYSICIAN)
(281) 589-8500
Entity
Organization
Contact information
Practice address
14629 MEMORIAL DR, HOUSTON, TX 77079-7500
(281) 589-8500
Mailing address
14629 MEMORIAL DR, HOUSTON, TX 77079-7500
(281) 589-8500
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
N4791
TX
261QH0100X
Health Service Clinic/Center
N4791
TX
Other
Enumeration date
12/27/2012
Last updated
10/28/2020
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