Organization
CENTRA CLINIC, INC
Active
Organization
CENTRA CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YAA O HONNY M.D. (MEDICAL DIRECTOR)
(832) 328-0044
Entity
Organization
Contact information
Practice address
16316 FM 529 RD, HOUSTON, TX 77095-1464
(812) 861-0600
(812) 861-7292
Mailing address
16316 FM 529 RD, HOUSTON, TX 77095-1464
(812) 861-0600
(812) 861-7292
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AP126663
TX
Other
Enumeration date
10/14/2014
Last updated
02/27/2019
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