Organization
GULFTON PRIMARY CARE CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TASNEEM AGHA MD (MEDICAL DIRECTOR/CEO)
(713) 777-4040
Entity
Organization
Contact information
Practice address
2743 IMPERIA DR STE 302, SUGAR LAND, TX 77479-8988
(713) 777-4040
(713) 772-9269
Mailing address
2473 IMPEIRA DR SUITE 302, SUGAR LAND, TX 77479
(713) 777-4040
(713) 777-0404
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
08/17/2015
Last updated
10/28/2024
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