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Specialty details in registry · Pasadena, TX

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At a glance

1946 Pasadena Blvd, Pasadena, TX 77502-2742

NPPES record updated Nov 26, 2020. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

1946 Pasadena Blvd
Pasadena, TX 77502-2742
Professional details: NPI, taxonomy & registry record
NPI1790389062
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
261QM1300X
Enumeration date
Nov 26, 2020
Record updated
Nov 26, 2020
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

261QM1300X · Primary

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

Practice location

1946 Pasadena Blvd
Pasadena, TX 77502-2742
Phone
(832) 203-5992
Fax
(866) 611-7531
Mailing address
16610 MYSTIC HARBOR LN

HOUSTON, TX 770954597
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Information may be outdated or incomplete.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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