Organization
PROFESSIONAL MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GISELE URRUTIBEHEITY M.D. (PRESIDENT)
(281) 362-1877
Entity
Organization
Contact information
Practice address
35 JUNIPER GROVE PL, THE WOODLANDS, TX 77382-4403
(281) 362-1877
Mailing address
35 JUNIPER GROVE PL, THE WOODLANDS, TX 77382-4403
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
J1152
TX
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
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