Organization · Type 2 NPI

MT Houston Medical Clinic

Specialist · Houston, TX

NPI number 1346363587 Active

Practice location

11703A Eastex Fwy
Houston, TX 77039-6205

Fax (832) 683-4133

Specialties and licenses

Taxonomy	Code	License
Specialist Primary	174400000X	J8017 (TX)
Family Nurse Practitioner	363LF0000X	AP126718 (TX)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Another provider at this address

Lauren Y. Nguyen, PHARM DPharmacist Houston, TX NPI 1225280530

Other specialist providers in Houston

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NPI record

NPI: 1346363587
Entity type: Organization (Type 2)
Issued: Apr 10, 2007
Last updated: Oct 3, 2019
Status: Active

Other names

<unavail>
Hui Jun Park, DC PC · doing business as
MT Houston Medical Clinic · other name

Authorized official

Ms. Sandra Ann Shirah, ADMINISTRATOR
Admin/credentialing Supervisor
(832) 683-4132

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1346363587

MT Houston Medical Clinic's National Provider Identifier is 1346363587, issued on Apr 10, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Houston, TX. The record was last updated on Oct 3, 2019.