Organization
SOUTH FORK MANAGEMENT AND CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORETTA WORSHAM (ADMINISTRATOR)
(281) 319-4910
Entity
Organization
Contact information
Practice address
20185 US HIGHWAY 59, STE 78A, NEW CANEY, TX 77357-8358
(281) 319-4910
(281) 913-0358
Mailing address
20185 US HIGHWAY 59, STE 78A, NEW CANEY, TX 77357-8358
(281) 319-4910
(281) 913-0358
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/04/2013
Last updated
02/04/2013
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