Organization
NORTH HARRIS PHYSICIAN SERVICES GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAWANDA WHITE (PRACTICE MANAGER)
(832) 666-2926
Entity
Organization
Contact information
Practice address
17400 RED OAK DR, HOUSTON, TX 77090-1246
(281) 919-1855
Mailing address
PO BOX 73066, HOUSTON, TX 77273-3066
(281) 919-1855
(281) 605-6641
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
802884900
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000
NONE
—
Enumeration date
08/01/2018
Last updated
08/01/2018
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