Organization
MEDLOSS
Active
Other names
HILCROFT PM CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GILBERT MAYORGA JR. MD (PRESIDENT)
(713) 772-5840
Entity
Organization
Contact information
Practice address
6910 BELLAIRE BLVD BLDG STE 8, HOUSTON, TX 77074-3509
(713) 780-8367
(713) 772-5841
Mailing address
6910 BELLAIRE BLVD BLDG STE 8, HOUSTON, TX 77074-3509
(713) 780-8367
(713) 772-5841
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
H3117
TX
Other
Enumeration date
03/25/2014
Last updated
03/25/2014
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