MEDICARE: SOUTHWEST ACCIDENT & INJURY

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1326408865
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SOUTHWEST ACCIDENT & INJURY

Provider Business Mailing Address
First Line	:	6219 IRVINGTON BLVD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77022-5951
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5610 SOUTHWEST FWY STE 101
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77057-7535
Country	:	US
Telephone Number	:	832-831-2423
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. EVA LIZZETTE BUI
Credential	:
Telephone Number	:	832-549-7554

Provider Enumeration Date	:	02/25/2016
Last Update Date	:	02/25/2016

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Directions to “SOUTHWEST ACCIDENT & INJURY ” Practice Location

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