Organization
PEDIATRIC CLINIC OF LAPORTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAHMAN SAHADAT UDDIN MD (PRESIDENT)
(281) 867-0291
Entity
Organization
Contact information
Practice address
10407 WEST FAIRMONT PARKWAY, SUITE B, LAPORTE, TX 77571
(281) 867-0291
(281) 867-0292
Mailing address
PO BOX 178, LA PORTE, TX 77572
(281) 867-0291
(281) 867-0292
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K9442
TX
Other
Enumeration date
02/06/2008
Last updated
02/06/2008
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