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1831967561
PROVIDER HEALTH SERVICES LLC
HUMBLE, TX
NPI
1831967561
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Entity Type
Organization
Authorized Contact
VICTOR MZYECE
President
281-305-8633
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2023-12-12
Last Update Date
2024-04-02
Business Address
PROVIDER HEALTH SERVICES LLC
1906 TREBLE DR STE 18
HUMBLE, TX 77338-5284
Phone number: 281-305-8633
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Mailing Address
PROVIDER HEALTH SERVICES LLC
14511 EMMA SPRINGS CT
HUMBLE, TX 77396-4893
Phone number: 281-305-8633
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