NPI 1104080878

Westco Medical, INC.

Organisation Exclusive Provider Organization Humble, TX

Practice location

Address: 18955 N Memorial Dr STE 490, Humble, TX 77338-4399
Phone: (713) 589-4863
Mailing address: 1442 Kingwood Dr # 230, Kingwood, TX 77339-3040

Authorised official

Name: Lorin Fred Busselberg
Title: Phycisian
Phone: (713) 589-4863

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence L7675 (TX)

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Registry record

NPI: 1104080878
Entity type: Organization
NPI issued: 11 Jul 2008
Record last updated: 11 Jul 2008

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.