Organization
INJURY SPECIALIST ASSOCIATES, P.A.
Active
Organization
INJURY SPECIALIST ASSOCIATES, P.A.
Active
Other names
Injury Center of Houston
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGIE MICHELLE RAYMOND (OFFICE MANAGER)
(713) 771-2225
Entity
Organization
Contact information
Practice address
8200 WEDNESBURY LN STE 210, HOUSTON, TX 77074-2931
(713) 771-2225
(713) 771-1876
Mailing address
8200 WEDNESBURY LN STE 210, HOUSTON, TX 77074-2931
(713) 771-2225
(713) 771-1876
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
F006098
TX
207R00000X
Internal Medicine Physician
Primary
L0617
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0017LH
BLUE CROSS BLUE SHIELD
TX
Enumeration date
03/06/2007
Last updated
04/25/2011
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