Organization
CE KING MEDICAL CLINIC
Active
Parent organization
JOSEPH SPENCER INC
Other names
ce king medical clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
JOSEPH SPENCER INC
Authorized official
DR. VIRGILIO CABIOC GERNALE SR. MD (PHYSICIAN/OWNER)
(281) 459-9947
Entity
Organization
Contact information
Practice address
8514 C E KING PKWY STE M, HOUSTON, TX 77044-2350
(281) 459-9947
Mailing address
8514 C E KING PKWY STE M, HOUSTON, TX 77044-2350
(281) 459-9947
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
J9049
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1659568772
NPI
TX
Enumeration date
10/03/2012
Last updated
10/03/2012
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