WEST GRAY PROPERTIES LLC
Osteopathic Medicine in Bellaire, TX

License number
Texas G5506
Category
Osteopathic Medicine
Type
Emergency Medicine
Owner
Name: MARIO A. QUINTANILLA MD
Title: PHYSICIAN
Phone: (713) 660-0001
Address
Address
5302 Bellaire Blvd., Bellaire, TX 77401
National Provider ID: 1104199017
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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WEST GRAY PROPERTIES, LLC

Bellaire, TX

Industry:
Nonresidential Building Operator
Registration:
Dec 29, 1993
Addresses:
118 Pamellia Dr, Bellaire, TX 77401 (Mailing)
1118 Pamellia Dr, Bellaire, TX 77401
State ID:
0700518222
Business type:
Domestic Limited Liability Company (LLC)
Managing Members:
Mario A Quintanilla (Manager), 118 Pamellia Dr, Bellaire, TX 77401,Mario A Quintanilla Living Trust Managing Member, inactive
Agent:
Mario Alberto Quintanilla,118 Pamellia Dr, Bellaire, TX 77401 (Physical)
TIN:
30117028552

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