Southeast Two Medical Group, Pllc

NPI #1093472326 in Tomball, Texas

Provider Information

NPI Number: 1093472326
Entity Type: Organization
Organization Name: Southeast Two Medical Group, Pllc
Primary Specialty: Family Medicine
Enumeration Date: Nov 22, 2021
Last Updated: Aug 23, 2022

Practice Location

Address: 16131 N ELDRIDGE PKWY STE 100
City: Tomball
State: Texas
ZIP Code: 77377-9130
Phone: (281) 429-8526

Authorized Official

Name: WELTON WAYNE WILSON
Title: MANAGER
Phone: (281) 429-8526

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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