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Organization

MONTGOMERY COUNTY MANAGEMENT COMPANY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARROL CAGLE MD (MEDICAL DIRECTOR)
(936) 760-7832
Entity
Organization

Contact information

Practice address
9305 PINECROFT, THE WOODLANDS, TX 77380
(281) 943-2456
(281) 943-2453
Mailing address
9305 PINECROFT, THE WOODLANDS, TX 77380
(281) 943-2456
(281) 943-2453

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
45C0001488
CCN
TX
01
P00816054
RAILROAD MEDICARE NUMBER
TX
Enumeration date
08/22/2008
Last updated
03/27/2012
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