Organization
SOUTHEAST INJURY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVA LIZZETTE BUI (OWNER)
(832) 549-7554
Entity
Organization
Contact information
Practice address
8866 GULF FWY STE 122, HOUSTON, TX 77017-6528
(832) 834-5096
Mailing address
6219 IRVINGTON BLVD, HOUSTON, TX 77022-5951
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/21/2016
Last updated
03/21/2016
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