| NPI | 1437837556 |
|---|---|
| Former Legal Business Name | 180 MEDICAL CLINIC INC |
| Entity Type | Organization |
| Authorized Contact | VIRAF COOPER Medical Director 281-919-1476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| 332S00000X Hearing Aid Equipment | |
| 251V00000X Voluntary or Charitable | |
| 261Q00000X Clinic/Center | |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 261QM1100X Clinic/Center, MilitaryU.S. Coast Guard Outpatient | |
| 261QP2300X Clinic/Center, Primary Care | |
| 261QP2400X Clinic/Center, Prison Health | |
| 332900000X Non-Pharmacy Dispensing Site | |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| 332BD1200X Durable Medical Equipment & Medical Supplies, Dialysis Equipment & Supplies | |
| 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies | |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2023-07-10 |