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1720482144
NORTHSIDE MEDICAL GROUP, INC
HOUSTON, TX
NPI
1720482144
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Entity Type
Organization
Authorized Contact
CHEDRIC COX
Administrator
713-691-7993
Organization Subpart ?
No
Primary Taxonomy
302R00000X Health Maintenance Organization
Enumeration Date
2014-10-14
Last Update Date
2014-10-14
Business Address
NORTHSIDE MEDICAL GROUP, INC
5815 AIRLINE DR SUITE D
HOUSTON, TX 77076-4922
Phone number: 713-691-7993
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Mailing Address
NORTHSIDE MEDICAL GROUP, INC
5815 AIRLINE DR SUITE D
HOUSTON, TX 77076-4922
Phone number: 713-691-7993
Copy
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