Woodlands Primary Care, Pa

NPI 1053682369 - Internal Medicine - 207RG0300X

NPI Details
NPI 1053682369
Enumeration Date 01/18/2012
Last Updated 04/30/2014
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name SUNITHA CHACKO SUNITHA
Position PRESIDENT
Phone (936) 321-6843
Fax (936) 647-1453
Practice Location
17350 ST LUKES WAY
SUITE 350
THE WOODLANDS TX, 77384-4100, US
Phone (936) 321-6843
Fax (936) 647-1453
Business Location
PO BOX 131594
THE WOODLANDS TX, 77393-1594, US
Phone (936) 321-6843
Fax (936) 647-1453
Toxanomy
Taxonomy Code 207RG0300X
License State Texas
License Number L5467
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According to our database, Woodlands Primary Care, Pa NPI is 1053682369, taxonomy code is 207RG0300X and license number is L5467, license state is located at Texas. Woodlands Primary Care, Pa physically located at 17350 St Lukes Way, The Woodlands TX, 77384-4100. NPI Number 1033115704 has the healthcare provider type.

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1053682369 NPI number is provided on an as is basis without warranty of any kind. 1053682369 is maintained by the National Plan & Provider Enumeration System. The contents of Woodlands Primary Care, Pa are for informational purposes only.