Organization
NIGHT LIGHT AFTER HOURS PEDIATRICS CYFAIR PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANASTASIA GENTLES MD (OWNER)
(713) 957-2020
Entity
Organization
Contact information
Practice address
19708 NORTHWEST FWY STE 500, JERSEY VILLAGE, TX 77065-5626
(713) 957-2020
Mailing address
PO BOX 123337, DALLAS, TX 75312-3337
(713) 957-2020
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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