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Organization

TEXAS INDUSTRIAL MEDICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUZANNE SCHAFER SCHAFER DO (MEDICAL DIRECTOR)
(281) 941-4174
Entity
Organization

Contact information

Practice address
1009 S BROADWAY ST, LA PORTE, TX 77571-5327
(819) 414-1742
(281) 941-4692
Mailing address
1009 S BROADWAY ST, LA PORTE, TX 77571-5327
(819) 414-1742
(281) 941-4692

Taxonomy

Speciality
Code
Description
License number
State
261QX0100X
Occupational Medicine Clinic/Center
Primary

Other

Enumeration date
09/28/2020
Last updated
09/28/2020
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