Organization
BROADWAY HEALTH GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAROSLAV MARYNYCH (OWNER)
(713) 645-1300
Entity
Organization
Contact information
Practice address
8121 BROADWAY ST, STE 130, HOUSTON, TX 77061-1340
(713) 645-1300
(713) 645-1301
Mailing address
8121 BROADWAY ST, STE 130, HOUSTON, TX 77061-1340
(713) 645-1300
(713) 645-1301
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/12/2009
Last updated
07/12/2009
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