Organization
DESTINY FAMILY AND PEDIATRIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LINUS N NWANNA NURSE (REGISTERED NURSE/ADMINISTRATOR)
(832) 274-5457
Entity
Organization
Contact information
Practice address
4006 CREEK RIDGE LN, MISSOURI CITY, TX 77459-2342
(832) 274-5457
Mailing address
4006 CREEK RIDGE LN, MISSOURI CITY, TX 77459-2342
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/03/2015
Last updated
10/03/2015
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