Pro Medical Clinic

NPI #1114202231 in Houston, Texas

Provider Information

NPI Number: 1114202231
Entity Type: Organization
Organization Name: Pro Medical Clinic
Primary Specialty: Anesthesiology
Enumeration Date: Oct 20, 2011
Last Updated: Oct 20, 2011

Practice Location

Address: 6306 GULFTON ST STE 101
City: Houston
State: Texas
ZIP Code: 77081-1117
Phone: (713) 981-6151

Authorized Official

Name: MRS. LORIE AGUILAR
Title: CLINIC SUPERVISOR
Phone: (713) 981-6151

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Family — Family	363LF0000X
Specialist	174400000X
Physician Assistant	363A00000X
Anesthesiology	207L00000X	Primary

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