Northwest Diagnostic Clinic, PA
NPI #1942209515 in Shenandoah, Texas
Provider Information
- NPI Number
- 1942209515
- Entity Type
- Organization
- Organization Name
- Northwest Diagnostic Clinic, PA
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jul 18, 2005
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 8845 SIX PINES DR FL 2
- City
- Shenandoah
- State
- Texas
- ZIP Code
- 77380-2675
- Phone
- (832) 232-5500
Authorized Official
- Name
- STEPHEN D FILLMAN, MD
- Title
- AUTHORIZED OFFICIAL
- Phone
- (832) 232-5500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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