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NPI Code Detail

MEDICARE: SC HEALTH CARE INC

MEDICARE: SC HEALTH CARE 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
1207R00000XInternal Medicine Physician
2207V00000XObstetrics & Gynecology Physician
32085R0202XDiagnostic Radiology Physician
4207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1578963633
Entity Type Code : Organization
Provider Name (Legal Business Name) : SC HEALTH CARE INC
Provider Business Mailing Address
First Line : 20320 NORTHWEST FWY
Second Line : SUITE 900
City : JERSEY VILLAGE
State : TX
Zip : 77065-5641
Country : US
Telephone Number : 281-586-3888
Fax Number : 281-440-2020
Provider Business Practice Location Address
First Line : 20320 NORTHWEST FWY
Second Line : SUITE 900
City : JERSEY VILLAGE
State : TX
Zip : 77065-5641
Country : US
Telephone Number : 281-586-3888
Fax Number : 281-440-2020
Authorized Official
Title or Position : CEO
Name : STACY WILLIAMS
Credential :
Telephone Number : 281-586-3888
Provider Enumeration Date : 08/26/2014
Last Update Date : 08/26/2014

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Directions to “SC HEALTH CARE INC ” Practice Location

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