Organization
PASADENA COMMUNITY HEALTH GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STANTON PACKARD M.D. (PRESIDENT)
(281) 606-2020
Entity
Organization
Contact information
Practice address
4002 BURKE RD, PASADENA, TX 77504-3451
(281) 606-2020
(281) 606-2021
Mailing address
4002 BURKE RD, PASADENA, TX 77504-3451
(281) 606-2020
(281) 606-2021
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
J6641
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
J6641
TX
208D00000X
General Practice Physician
Primary
J6641
TX
Other
Enumeration date
10/01/2010
Last updated
10/01/2010
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