Centerwell Senior Primary Care (tx) PA

NPI #1023640174 in Houston, Texas

Provider Information

NPI Number: 1023640174
Entity Type: Organization
Organization Name: Centerwell Senior Primary Care (tx) PA
Primary Specialty: Internal Medicine
Enumeration Date: Feb 6, 2020
Last Updated: Oct 18, 2022

Practice Location

Address: 9609 CULLEN BOULEVARD
City: Houston
State: Texas
ZIP Code: 77051-3324
Phone: (713) 848-8120

Authorized Official

Name: ANGIE MARTINEZ
Title: SENIOR CREDENTIALING PROFESSIONAL
Phone: (407) 447-7120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
General Practice	208D00000X
Internal Medicine	207R00000X	Primary

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