Organization
CONSULTORIO MEDICO HISPANO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STANTON PACKARD M.D. (PHYSICIAN)
(713) 714-8604
Entity
Organization
Contact information
Practice address
6692 SOUTHWEST FWY, SUITE B, HOUSTON, TX 77074-2210
(713) 714-8604
Mailing address
6692 SOUTHWEST FWY, SUITE B, HOUSTON, TX 77074-2210
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
J6641
TX
Other
Enumeration date
10/21/2013
Last updated
10/21/2013
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