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Organization

1ST MEDCARE CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BEN KODAE (PRESIDENT)
(832) 877-3380
Entity
Organization

Contact information

Practice address
2306 N ALEXANDER DR, BAYTOWN, TX 77520-3455
(832) 877-3380
(281) 428-7247
Mailing address
PO BOX 505, BELLAIRE, TX 77402-0505
(832) 877-3380
(282) 428-7247

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
132700000X
Dietary Manager
207Q00000X
Family Medicine Physician
Primary
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
225100000X
Physical Therapist
225700000X
Massage Therapist

Other

Enumeration date
10/03/2014
Last updated
10/03/2014
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