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NPI Code Detail

MEDICARE: CHANNELVIEW MEDICAL CENTER INC

MEDICARE: CHANNELVIEW MEDICAL CENTER INC
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
1111N00000XChiropractor9768TX

General Provider Information

NPI Number : 1134232002
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHANNELVIEW MEDICAL CENTER INC
Provider Business Mailing Address
First Line : 11929 I-10 EAST FWY
Second Line : STE A
City : HOUSTON
State : TX
Zip : 77029-2025
Country : US
Telephone Number : 713-451-2100
Fax Number : 713-451-2101
Provider Business Practice Location Address
First Line : 11929 I-10 EAST FWY
Second Line : STE A
City : HOUSTON
State : TX
Zip : 77029-2025
Country : US
Telephone Number : 713-451-2100
Fax Number : 713-451-2101
Authorized Official
Title or Position : ADMINISTRATOR
Name : LONNIE NGUYEN
Credential :
Telephone Number : 713-652-0011
Provider Enumeration Date : 08/16/2006
Last Update Date : 02/22/2012

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Directions to “CHANNELVIEW MEDICAL CENTER INC ” Practice Location

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