Northwest Diagnostic Clinic, PA

NPI #1417952094 in Spring, Texas

Provider Information

NPI Number: 1417952094
Entity Type: Organization
Organization Name: Northwest Diagnostic Clinic, PA
Primary Specialty: Internal Medicine
Enumeration Date: Jun 20, 2005
Last Updated: Jul 21, 2022

Practice Location

Address: 2255 E MOSSY OAKS RD STE 500
City: Spring
State: Texas
ZIP Code: 77389-1813
Phone: (281) 440-5300

Authorized Official

Name: MR. STEPHEN D FILLMAN, MD
Title: AUTHORIZED OFFICIAL
Phone: (281) 440-5300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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