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Organization

RICHARD NUILA-CROUSE M.D.P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RIVHARD NUILA-CROUSE M.D. (PRESIDENT)
(713) 861-0900
Entity
Organization

Contact information

Practice address
1631 NORTH LOOP W STE 570, HOUSTON, TX 77008-1592
(713) 861-0900
(713) 861-9822
Mailing address
1631 NORTH LOOP W STE 570, HOUSTON, TX 77008-1592
(713) 861-0900
(713) 861-9822

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
G9634
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000JU59
MEDICARE
TX
05
03273501
TX
Enumeration date
05/25/2012
Last updated
05/25/2012
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