Imu Southwest, the Immunization Clinic

NPI #1902971591 in Stafford, Texas

Provider Information

NPI Number: 1902971591
Entity Type: Organization
Organization Name: Imu Southwest, the Immunization Clinic
Primary Specialty: Registered Nurse
Enumeration Date: Nov 21, 2006
Last Updated: Apr 23, 2012

Practice Location

Address: 3727 GREENBRIAR DR
Address 2: SUITE 403
City: Stafford
State: Texas
ZIP Code: 77477-3954
Phone: (281) 313-7468

Authorized Official

Name: V YVETTE CHEEKS, RN
Title: DIRECTOR
Phone: (281) 313-7468

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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