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Organization

SPRING SHADOWS MEDICAL CLINIC

Active
Other names
LLC
Organization subpart
No

Provider details

NPI number
Authorized official
RUBEENA AYESHA NP (CEO)
(832) 649-8110
Entity
Organization

Contact information

Practice address
2549 GESSNER RD, HOUSTON, TX 77080-3801
(832) 649-8110
Mailing address
2549 GESSNER RD, HOUSTON, TX 77080
(832) 649-8110

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
827700
TX

Other

Enumeration date
09/16/2014
Last updated
11/18/2015
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