Organization · Type 2 NPI
Backed By Blackmon
Health Service Clinic/Center · Houston, TX
NPI number
1306580584
Active
Practice location
17047 El Camino Real Ste 140
Houston, TX 77058-2615
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1306580584
Backed By Blackmon's National Provider Identifier is 1306580584, issued on Apr 25, 2022. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Houston, TX. The record was last updated on Jun 4, 2026.