SPACE CITY MEDICAL, LLC

HOUSTON, TX
NPI1083202402
Entity TypeOrganization
Authorized ContactBRANDON L JOHNSON
Nurse Practitioner
832-549-6655
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2021-01-03
Last Update Date2021-01-03
Business Address
SPACE CITY MEDICAL, LLC
7401 GLEASON RD
HOUSTON, TX 77016-2708
Phone number: 832-549-6655
Mailing Address
SPACE CITY MEDICAL, LLC
7401 GLEASON RD
HOUSTON, TX 77016-2708
Phone number: 832-549-6655
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