Colonial Lakes Medical Center Llc

NPI 1134542954 - Clinic/Center - 261QE0002X

NPI Details
NPI 1134542954
Enumeration Date 01/30/2014
Last Updated 10/02/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name TIM TIM
Position CFO
Phone (972) 899-6666
Fax (972) 899-5954
Practice Location
4885 HWY 6
MISSOURI CITY TX, 77459, US
Phone (972) 899-6666
Fax (972) 899-5954
Business Location
PO BOX 840795
DALLAS TX, 75284-0795, US
Phone (972) 899-6666
Fax (972) 899-5954
Toxanomy
Taxonomy Code 261QE0002X
License State Texas
License Number 160127
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According to our database, Colonial Lakes Medical Center Llc NPI is 1134542954, taxonomy code is 261QE0002X and license number is 160127, license state is located at Texas. Colonial Lakes Medical Center Llc physically located at 4885 Hwy 6, Missouri City TX, 77459. NPI Number 1033115704 has the healthcare provider type.

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1134542954 NPI number is provided on an as is basis without warranty of any kind. 1134542954 is maintained by the National Plan & Provider Enumeration System. The contents of Colonial Lakes Medical Center Llc are for informational purposes only.