Organization
INTRUST MEDICAL
Active
Other names
InTrust Medical
Organization subpart
No
Provider details
NPI number
Authorized official
GENIA MOORE (PRACTICE MANAGER)
(346) 907-5799
Entity
Organization
Contact information
Practice address
8240 ANTOINE DR STE 100, HOUSTON, TX 77088-2534
(346) 907-5799
(346) 907-5644
Mailing address
8240 ANTOINE DR STE 100, HOUSTON, TX 77088-2534
(346) 907-5799
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
01/30/2019
Last updated
03/15/2019
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