Organization
GILGAL AND MEDSTAR MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWIN SAMA TITA RPH (MANAGING MEMBER)
(713) 582-7815
Entity
Organization
Contact information
Practice address
14506 HOLLES DR, SUGAR LAND, TX 77498-2782
(832) 933-5866
Mailing address
14506 HOLLES DR, SUGAR LAND, TX 77498-2782
(832) 933-5866
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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