Texas City Mwp

NPI #1023490133 in Texas City, Texas

Provider Information

NPI Number: 1023490133
Entity Type: Organization
Organization Name: Texas City Mwp
Subpart: Yes (part of a larger organization)
Parent Organization: ST. HOPE FOUNDATION, INC.
Primary Specialty: Specialist
Enumeration Date: Jun 25, 2015
Last Updated: Jun 25, 2015

Practice Location

Address: 6807 EMMETT F LOWRY EXPY
Address 2: 302
City: Texas City
State: Texas
ZIP Code: 77591-2546
Phone: (832) 431-5162

Authorized Official

Name: MR. RODNEY GOODIE
Title: CEO
Phone: (713) 778-1300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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