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NPI Code Detail

MEDICARE: BEL GRIFFIN

MEDICARE: BEL GRIFFIN
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
1261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1205008224
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEL GRIFFIN
Provider Business Mailing Address
First Line : 2500 WOODLAND PARK DR
Second Line : C204
City : HOUSTON
State : TX
Zip : 77077-2271
Country : US
Telephone Number : 281-759-6868
Fax Number : 281-759-6868
Provider Business Practice Location Address
First Line : 2500 WOODLAND PARK DR
Second Line : C204
City : HOUSTON
State : TX
Zip : 77077-2271
Country : US
Telephone Number : 281-759-6868
Fax Number : 281-759-6868
Authorized Official
Title or Position : EXECUTIVE ADMINISTRATOR
Name : MISS CHARISMA DANYELL MORGAN
Credential :
Telephone Number : 281-759-6868
Provider Enumeration Date : 03/31/2008
Last Update Date : 03/31/2008

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Directions to “BEL GRIFFIN ” Practice Location

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