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NPI Code Detail

MEDICARE: PARADIGM CENTER FOR INTEGRATIVE MEDICINE, PLLC

MEDICARE: PARADIGM CENTER FOR INTEGRATIVE MEDICINE, PLLC
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
1207QA0505XAdult Medicine PhysicianL6405TX

General Provider Information

NPI Number : 1619384963
Entity Type Code : Organization
Provider Name (Legal Business Name) : PARADIGM CENTER FOR INTEGRATIVE MEDICINE, PLLC
Provider Business Mailing Address
First Line : 7505 FANNIN ST STE 120
Second Line :
City : HOUSTON
State : TX
Zip : 77054-1929
Country : US
Telephone Number : 713-337-5100
Fax Number : 713-337-5103
Provider Business Practice Location Address
First Line : 7505 FANNIN ST STE 120
Second Line :
City : HOUSTON
State : TX
Zip : 77054-1929
Country : US
Telephone Number : 713-337-5100
Fax Number : 713-337-5103
Authorized Official
Title or Position : OWNER
Name : DR. RONALD A. GREEN
Credential :
Telephone Number : 713-337-5100
Provider Enumeration Date : 07/18/2014
Last Update Date : 07/18/2014

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Directions to “PARADIGM CENTER FOR INTEGRATIVE MEDICINE, PLLC ” Practice Location

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