Cleveland Medical Clinic Family

NPI #1437235116 in Cleveland, Texas

Provider Information

NPI Number
1437235116
Entity Type
Organization
Organization Name
Cleveland Medical Clinic Family
Primary Specialty
Physician Assistant
Enumeration Date
Oct 27, 2006
Last Updated
Feb 2, 2010

Practice Location

Address
208 N BONHAM AVE
State
Texas
ZIP Code
77327-4023
Phone
(281) 592-3600

Authorized Official

Name
DR. PHILIP R WISIACKAS, MD
Title
PHYSICIAN
Phone
(281) 592-3600

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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