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NPI Code Detail

MEDICARE: HOUSTON MEDICAL MANAGEMENT LLC

MEDICARE: HOUSTON MEDICAL MANAGEMENT LLC
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
1103TC0700XClinical Psychologist
2207P00000XEmergency Medicine Physician
3207PH0002XHospice and Palliative Medicine (Emergency Medicine) Physician
4207Q00000XFamily Medicine Physician
5207QA0401XAddiction Medicine (Family Medicine) Physician

General Provider Information

NPI Number : 1245862531
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOUSTON MEDICAL MANAGEMENT LLC
Provider Business Mailing Address
First Line : 2138 MCCLENDON ST
Second Line :
City : HOUSTON
State : TX
Zip : 77030-2110
Country : US
Telephone Number : 615-293-5790
Fax Number :
Provider Business Practice Location Address
First Line : 19211 MCKAY DR
Second Line :
City : HUMBLE
State : TX
Zip : 77338-5502
Country : US
Telephone Number : 281-883-5500
Fax Number :
Authorized Official
Title or Position : PHYSICIAN
Name : DR. MICHAEL LIHCHUN CHANG
Credential : MD
Telephone Number : 615-293-5790
Provider Enumeration Date : 02/05/2020
Last Update Date : 02/05/2020

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Directions to “HOUSTON MEDICAL MANAGEMENT LLC ” Practice Location

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