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1275290504
SOUTHEAST FOUR MEDICAL GROUP, PLLC
TOMBALL, TX
NPI
1275290504
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Entity Type
Organization
Authorized Contact
WELTON WAYNE WILSON
Manager
281-429-8526
Organization Subpart ?
No
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
Enumeration Date
2021-11-22
Last Update Date
2021-11-22
Business Address
SOUTHEAST FOUR MEDICAL GROUP, PLLC
16131 N ELDRIDGE PKWY STE 100
TOMBALL, TX 77377-9130
Phone number: 281-429-8526
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Mailing Address
SOUTHEAST FOUR MEDICAL GROUP, PLLC
16131 N ELDRIDGE PKWY STE 100
TOMBALL, TX 77377-9130
Phone number: 281-429-8526
Copy
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