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Organization

TRANSPLANTATION AND GENERAL SURGERY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DIANA C DRAIN CPC (BUSINESS OFFICE MANAGER)
(281) 491-8600
Entity
Organization

Contact information

Practice address
6624 FANNIN ST, STE 2180, HOUSTON, TX 77030-2312
(713) 795-8994
(713) 795-8537
Mailing address
6624 FANNIN ST, STE 2180, HOUSTON, TX 77030-2312
(713) 795-8994
(713) 795-8537

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0009HD
BC/BS GROUP NUMBER
TX
05
148096401
TX
Enumeration date
05/23/2006
Last updated
09/11/2011
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