Organization
MEDILINE WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD RATINOV MD (MEDICAL DIRECTOR)
(713) 432-9400
Entity
Organization
Contact information
Practice address
6550 MAPLERIDGE ST STE 214, HOUSTON, TX 77081-4647
(713) 432-9400
(713) 432-9401
Mailing address
6550 MAPLERIDGE ST STE 214, HOUSTON, TX 77081-4647
(713) 432-9400
(713) 432-9401
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
D2823
TX
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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