Centerwell Senior Primary Care (tx) PA

NPI #1750901781 in Humble, Texas

Provider Information

NPI Number
1750901781
Entity Type
Organization
Organization Name
Centerwell Senior Primary Care (tx) PA
Subpart
Yes (part of a larger organization)
Parent Organization
CENTERWELL SENIOR PRIMARY CARE (TX) PA
Primary Specialty
Internal Medicine
Enumeration Date
Apr 20, 2020
Last Updated
Oct 18, 2022

Practice Location

Address
9688 FM 1960 BYPASS RD W
City
Humble
State
Texas
ZIP Code
77338-4040
Phone
(281) 318-2401

Authorized Official

Name
ANGIE MARTINEZ
Title
SENIOR CREDENTIALING PROFESSIONAL
Phone
(407) 447-7120

Specialties & Taxonomy Codes

Specialty
Family Medicine
General Practice
Internal Medicine

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