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NPI Code Detail

MEDICARE: VIP HEALTH SERVICES LLC

MEDICARE: VIP HEALTH SERVICES 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
1207Q00000XFamily Medicine Physician
2261QU0200XUrgent Care Clinic/Center

General Provider Information

NPI Number : 1598182420
Entity Type Code : Organization
Provider Name (Legal Business Name) : VIP HEALTH SERVICES LLC
Provider Business Mailing Address
First Line : 2601 W LAKE HOUSTON PKWY
Second Line :
City : KINGWOOD
State : TX
Zip : 77339-5222
Country : US
Telephone Number : 281-360-7502
Fax Number : 281-360-0587
Provider Business Practice Location Address
First Line : 9235 N HIGHWAY 146 STE 3
Second Line :
City : MONT BELVIEU
State : TX
Zip : 77523-9503
Country : US
Telephone Number : 281-360-7502
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : MR. HAMIDREZA IRANMANESH
Credential : MD
Telephone Number : 281-360-7502
Provider Enumeration Date : 03/28/2014
Last Update Date : 04/01/2014

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Directions to “VIP HEALTH SERVICES LLC ” Practice Location

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