NPI | 1184707788 |
---|---|
Doing Business As | MEMORIAL VILLAGE SINUS AND HEARING |
Doing Business As | MEMORIAL VILLAGE ENT |
Entity Type | Organization |
Authorized Contact | CONRAD KYLE MCCUTCHEON Owner 281-822-3777 |
Organization Subpart ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology |
Enumeration Date | 2006-10-24 |
Last Update Date | 2021-11-03 |