South Houston Medical & Rehab Clinic

NPI #1003198011 in Houston, Texas

Provider Information

NPI Number: 1003198011
Entity Type: Organization
Organization Name: South Houston Medical & Rehab Clinic
Primary Specialty: Family Medicine
Enumeration Date: Sep 15, 2011
Last Updated: May 21, 2012

Practice Location

Address: 8729 GULF FWY
City: Houston
State: Texas
ZIP Code: 77017-6504
Phone: (713) 636-2590

Authorized Official

Name: CHARLETTA ANDERSON
Title: ADMINISTRATOR
Phone: (713) 636-2590

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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