Organization
SAO AIRLINE OB-GYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENO L MIGUEL (MANAGER)
(713) 694-6600
Entity
Organization
Contact information
Practice address
9180 KATY FWY STE 202, HOUSTON, TX 77055-7443
(713) 647-7700
Mailing address
6031 AIRLINE DR, HOUSTON, TX 77076-4209
(713) 694-6600
(713) 694-6616
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
10/11/2008
Last updated
10/11/2008
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