Organization
ELLINGTON FIELD SATELLITE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA SHAPIRO (CDR)
(202) 475-5182
Entity
Organization
Contact information
Practice address
COMMANDING OFFICER USCG AIR STATION HOUSTON, 1178 ELLINGTON FIELD, HOUSTON, TX 77034
(281) 929-2421
Mailing address
COMDT (CG-1122) US COAST GUARD, 2100 2ND ST STE 5314, WASHINGTON, DC 20593-0001
(202) 475-5182
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Enumeration date
12/15/2006
Last updated
08/22/2020
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