GENERATION MEDICAL CLINIC, LLC
Ambulatory Health at Bellaire Blvd, Houston, TX

License number
Texas P7822
Category
Ambulatory Health
Type
Clinic/Center
Owner
Name: STEVEN XUAN NGUYEN M.D.
Title: MANAGER
Phone: (714) 234-9216
Address
Address
11322 Bellaire Blvd #17, Houston, TX 77072
National Provider ID: 1184052797
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GENERATION MEDICAL CLINIC, LLC

Houston, TX

Doing business as:
Generation Medical Clinic, LLC
Registration:
Sep 18, 2013
Addresses:
11322 Bellaire Blvd STE 117, Houston, TX 77072 (Mailing)
11322 Beffaire Bevd, Houston, TX 77072
State ID:
0801851910
Business type:
Domestic Limited Liability Company (LLC)
MANAGER, Manager:
Steven Nguyen (MANAGER, Manager), 11322 Beffaire Blvd STE 117, Houston, TX 77072
Agent:
Corporation Service Company D/B/A Csc-Lawyers Inco,211 E 7 St SUITE 620, Austin, TX 78701 (Physical)
TIN:
32052008961

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