Organization
SOUTHWEST MEMORIAL PHYSICIAN ASSOCIATES, PA
Active
Other names
Southwest Memorial Physicians
Organization subpart
No
Provider details
NPI number
Authorized official
GARY J SHEPPARD M.D. (VICE PRESIDENT)
(713) 777-3000
Entity
Organization
Contact information
Practice address
7777 SOUTHWEST FWY, SUITE 620, HOUSTON, TX 77074-1802
(713) 777-3000
(713) 774-2209
Mailing address
7777 SOUTHWEST FWY, SUITE 620, HOUSTON, TX 77074-1802
(713) 777-3000
(713) 774-2209
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
081474101
—
TX
01
—
CF9924
RR MEDICARE GROUP
TX
Enumeration date
01/15/2007
Last updated
04/24/2015
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