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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