NPI 1093040636

Remote Physician Consulting PA

Organisation Preferred Provider Organization Houston, TX

Practice location

Address: 5900 Memorial Drive Suite 214, Houston, TX 77007-8004
Phone: (832) 380-3626
Fax: (866) 681-8739
Mailing address: PO Box 541957, Houston, TX 77254-1957

Authorised official

Name: Angelia D Kolenda
Title: Administrator
Phone: (832) 380-3626

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1093040636
Entity type: Organization
NPI issued: 15 Oct 2009
Record last updated: 15 Oct 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.