Organization
INCLUSIVE HEALTHCARE GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMEON TRYON (OPERATIONS OFFICER)
(832) 946-7919
Entity
Organization
Contact information
Practice address
6550 MAPLERIDGE ST, # 115, HOUSTON, TX 77081-4600
(832) 649-7919
(888) 812-4235
Mailing address
6550 MAPLERIDGE ST, #117, HOUSTON, TX 77081-4600
(832) 649-7919
(888) 812-4235
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
801859664
TX
261QH0100X
Health Service Clinic/Center
801859664
TX
261QP2300X
Primary Care Clinic/Center
801859664
TX
261QP3300X
Pain Clinic/Center
801859664
TX
Other
Enumeration date
05/13/2014
Last updated
05/13/2014
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