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Specialty details in registry · Houston, TX

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At a glance

12135 Swan River Dr, Houston, TX 77050

NPPES record updated May 20, 2021. Public records can lag behind changes at a practice.

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Practice location

12135 Swan River Dr
Houston, TX 77050

Professional details: NPI, taxonomy & registry record

NPI1063087393

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 3747P1801X
Enumeration date: May 20, 2021
Record updated: May 20, 2021

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

3747P1801X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

12135 Swan River Dr
Houston, TX 77050

Phone: (832) 647-9127

Mailing address

12135 SWAN RIVER DR

HOUSTON, TX 77050

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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