Organization · Type 2 NPI
Colonial Lakes Medical Center LLC
Emergency Care Clinic/Center · Missouri City, TX
NPI number
1134542954
Active
Practice location
4885 Hwy 6
Missouri City, TX 77459
Fax (972) 899-5954
Mailing address
PO Box 840795
Dallas, TX 75284-0795
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Care Clinic/Center Primary | 261QE0002X | 160127 (TX) |
Emergency Care Clinic/Center: Definition to come...
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About NPI 1134542954
Colonial Lakes Medical Center LLC's National Provider Identifier is 1134542954, issued on Jan 30, 2014. The primary taxonomy on file is Emergency Care Clinic/Center (261QE0002X), and the practice location is in Missouri City, TX. The record was last updated on Oct 2, 2014.