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NPI Code Detail

MEDICARE: CLINIC RESOURCES MANAGEMENT, INC.

MEDICARE: CLINIC RESOURCES MANAGEMENT, 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
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1144557661
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLINIC RESOURCES MANAGEMENT, INC.
Provider Business Mailing Address
First Line : 1320 QUITMAN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77009-7936
Country : US
Telephone Number : 713-222-0450
Fax Number : 713-222-0464
Provider Business Practice Location Address
First Line : 1320 QUITMAN ST
Second Line :
City : HOUSTON
State : TX
Zip : 77009-7936
Country : US
Telephone Number : 713-222-0450
Fax Number : 713-222-0464
Authorized Official
Title or Position : VICE PRESIDENT
Name : MR. NATHAN INGRAM
Credential :
Telephone Number : 713-222-0450
Provider Enumeration Date : 11/04/2009
Last Update Date : 11/04/2009

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Directions to “CLINIC RESOURCES MANAGEMENT, INC. ” Practice Location

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