Organization
410 SAN ANTONIO DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIANNA VILLARREAL (BILLING MANAGER)
(214) 295-6703
Entity
Organization
Contact information
Practice address
2000 BAGBY ST, APT 13430, HOUSTON, TX 77002-8587
(214) 295-6703
Mailing address
2000 BAGBY ST, APT 13430, HOUSTON, TX 77002-8587
(214) 295-6703
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2014
Last updated
10/03/2014
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