Organization
CMC MEDICAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LLEWELLYN BASILIO CANIO (MD)
(713) 378-0989
Entity
Organization
Contact information
Practice address
1017 FAIRMONT PKWY, PASADENA, TX 77504-2903
(713) 378-0989
(713) 378-0963
Mailing address
1017 FAIRMONT PKWY, PASADENA, TX 77504-2903
(713) 378-0989
(713) 378-0963
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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