institution
Space Center Primary Care, Pllc
Primary Care Clinic/Center in Houston, Texas
NPI 1033661715

Space Center Primary Care, Pllc is a Primary Care Clinic/Center based in Houston, TX and is specialized in Primary Care. Space Center Primary Care, Pllc practices in Houston, TX. The NPI Number for Space Center Primary Care, Pllc is 1033661715 and holds a License No. Q4875 (Texas).

The current practice location address for Space Center Primary Care, Pllc is 907 Bay Area Blvd Ste B, Houston, TX and can be reached out via phone at 281-286-6000 and via fax at 281-488-8686.

Location: 907 Bay Area Blvd Ste B, Houston, TX, 77058-2665
institution
Provider Profile Details
NPI Number
1033661715
Provider Name
Space Center Primary Care, Pllc
Credential
Provider Entity Type
Organization
Address
907 Bay Area Blvd Ste B, Houston, TX, 77058-2665
Phone Number
281-286-6000
Fax Number
281-488-8686
Provider Enumeration Date
10/28/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
454495ZRZ 01 TX MEDICARE ID
institution
Provider Business Practice Location Address Details
Address
907 Bay Area Blvd Ste B
City
State
Zip
77058-2665
Phone Number
281-286-6000
Fax Number
281-488-8686
person
Provider Business Mailing Address Details
Address
907 Bay Area Blvd Ste B
City
State
Zip
77058-2665
Phone Number
281-286-6000
Fax Number
281-488-8686
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
Q4875 (Texas)
Definition
Definition to come...
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