Organization
NUPHYSICIA HEALTH OF TEXAS
Active
Other names
NHOT
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OSCAR WILLIAM BOULTINGHOUSE M.D. (MEDICAL DIRECTOR)
(713) 358-9271
Entity
Organization
Contact information
Practice address
4625 SOUTHWEST FWY, SUITE 142, HOUSTON, TX 77027-7100
(713) 358-9271
(713) 358-9269
Mailing address
4625 SOUTHWEST FREEWAY, SUITE 142, HOUSTON, TX 77027
(713) 358-9271
(713) 358-9269
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
G2256
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G2256
MEDICAL LISCENSE
TX
Enumeration date
08/31/2016
Last updated
08/31/2016
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