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Organization

ATASCOCITA PRIMARY CARE, PA

Active
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Organization

ATASCOCITA PRIMARY CARE, PA

Active
Other names
Atascocita Primary Care, PA
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HUONG QUYNH HOANG MD (PRESIDENT)
(281) 852-9500
Entity
Organization

Contact information

Practice address
18700 W LAKE HOUSTON PKWY, STE A104, HUMBLE, TX 77346-3349
(281) 852-9500
(281) 852-9755
Mailing address
18700 W LAKE HOUSTON PKWY, STE A104, HUMBLE, TX 77346-3349
(281) 852-9500
(281) 852-9755

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
K5556
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0099MY
BCBS
TX
01
DE2075
MEDICARE RAILROAD
TX
Enumeration date
12/29/2005
Last updated
07/11/2015
Update your record

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