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1083202402
SPACE CITY MEDICAL, LLC
HOUSTON, TX
NPI
1083202402
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Entity Type
Organization
Authorized Contact
BRANDON L JOHNSON
Nurse Practitioner
832-549-6655
Organization Subpart ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
Enumeration Date
2021-01-03
Last Update Date
2021-01-03
Business Address
SPACE CITY MEDICAL, LLC
7401 GLEASON RD
HOUSTON, TX 77016-2708
Phone number: 832-549-6655
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Mailing Address
SPACE CITY MEDICAL, LLC
7401 GLEASON RD
HOUSTON, TX 77016-2708
Phone number: 832-549-6655
Copy
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