NPI | 1104080878 |
---|---|
Doing Business As | NORTH HOUSTON PLASTIC AND VEIN CENTER |
Entity Type | Organization |
Authorized Contact | LORIN FRED BUSSELBERG Phycisian 713-589-4863 |
Organization Subpart ? | Yes |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: TX L7675) |
Enumeration Date | 2008-07-11 |
Last Update Date | 2008-07-11 |