Eastex Medical Clinic

NPI #1093088239 in Houston, Texas

Provider Information

NPI Number: 1093088239
Entity Type: Organization
Organization Name: Eastex Medical Clinic
Primary Specialty: Chiropractor
Enumeration Date: Feb 20, 2012
Last Updated: Feb 20, 2012

Practice Location

Address: 10769 EASTEX FWY
City: Houston
State: Texas
ZIP Code: 77093-4301
Phone: (713) 691-1276

Authorized Official

Name: MR. ALEXEI N FOMINE
Title: CEO
Phone: (713) 859-6242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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