Organization
HOUSTON PHYSICIANS IPA PLLC
Active
Organization
HOUSTON PHYSICIANS IPA PLLC
Active
Other names
HOUSTON PHYSICIANS IPA PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAN NHU BICH PHAN MPH (ADMINISTRATOR)
(818) 399-8996
Entity
Organization
Contact information
Practice address
6 VERANDA, NEWPORT COAST, CA 92657-1632
(818) 399-8996
Mailing address
6 VERANDA, NEWPORT COAST, CA 92657-1632
(818) 399-8996
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1143333600002
TEXAS SECRETARY OF STATE CERTIFICATE OF FORMATION OF PLLC
TX
Enumeration date
11/01/2022
Last updated
11/01/2022
Update your record
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