Organization
MEN'S DIVISION PROFESSIONAL CORPORATION
Active
Other names
Men's Division
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL ROACH PRESIDENT (FNP-BC)
(281) 900-0597
Entity
Organization
Contact information
Practice address
11511 FM 1960 STE 102, HUFFMAN, TX 77336-2710
(832) 832-8570
(346) 299-7263
Mailing address
1514 LYNNVIEW DR, HOUSTON, TX 77055-3428
(281) 900-0597
(346) 299-7263
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
02/25/2025
Last updated
02/25/2025
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