| NPI | 1952557274 |
|---|---|
| Doing Business As | NORTHEAST MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JACLILLINE F WILLIAMS Office Manager 281-358-0828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX J4522) |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain (Licence: TX J4522) |
| 363AM0700X Physician Assistant, Medical (Licence: TX PA02179) | |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-11-19 |