La Providence Medical Center

NPI #1063824829 in Houston, Texas

Provider Information

NPI Number: 1063824829
Entity Type: Organization
Organization Name: La Providence Medical Center
Primary Specialty: Pediatrics
Enumeration Date: May 28, 2014
Last Updated: Jul 25, 2014

Practice Location

Address: 9644 COURT GLEN DR
City: Houston
State: Texas
ZIP Code: 77099-2541
Phone: (713) 909-3139

Authorized Official

Name: DR. IFEYINWA ONWUDIWE, M.D.
Title: OWNER/MD
Phone: (713) 909-3139

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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