MEDICARE: AUREUS MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1265814107
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUREUS MEDICAL CENTER

Provider Business Mailing Address
First Line	:	11800 CITY PARK CENTRAL LN
Second Line	:	APT 834
City	:	HOUSTON
State	:	TX
Zip	:	77047-3242
Country	:	US
Telephone Number	:	405-219-0130
Fax Number	:

Provider Business Practice Location Address
First Line	:	11800 CITY PARK CENTRAL LN
Second Line	:	APT 834
City	:	HOUSTON
State	:	TX
Zip	:	77047-3242
Country	:	US
Telephone Number	:	405-219-0130
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KWADWO FRIMPONG-BADU
Credential	:	M.H.A, M.B.A
Telephone Number	:	405-219-0130

Provider Enumeration Date	:	06/27/2015
Last Update Date	:	07/22/2015

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Directions to “AUREUS MEDICAL CENTER ” Practice Location

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