Organization
WEST LITTLE YORK MEDICAL CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COURTNEY CORSALLE GORDON SR. LVN B.A BIOLOGY (MANAGER)
(713) 742-9900
Entity
Organization
Contact information
Practice address
511 W LITTLE YORK RD, SUITE A, HOUSTON, TX 77091-2421
(713) 742-9900
(713) 742-9901
Mailing address
PO BOX 91124, HOUSTON, TX 77291-1124
(713) 742-9900
(713) 742-9901
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216816301
—
TX
Enumeration date
07/08/2010
Last updated
01/28/2011
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