Organization
SOUTHWEST MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOC TAN NGUYEN M.D (PRESIDENT)
(713) 542-3664
Entity
Organization
Contact information
Practice address
11570 BELLAIRE BLVD, HOUSTON, TX 77072-2448
(713) 542-3664
Mailing address
11570 BELLAIRE BLVD, HOUSTON, TX 77072-2448
(713) 542-3664
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
801287765
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3266488
—
TX
Enumeration date
07/26/2010
Last updated
04/14/2014
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