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11D0982592 CLIA NUMBER - HOUSTON PRIMARY CARE INC

Laboratory Demographics

CLIA Number: 11D0982592

Facility Name: HOUSTON PRIMARY CARE INC

Facility Address:
1719 RUSSELL PARKWAY BUILDING 700
WARNER ROBINS, GA
ZIP 31088
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Facility Phone Number: 478 328-7674

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1568473767

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 11D0982592
LAB Type Physician Office
Facility Name HOUSTON PRIMARY CARE INC
Street 1719 RUSSELL PARKWAY BUILDING 700
City WARNER ROBINS
State GA
ZIP 31088
Phone 478 328-7674
CertificateType 4
CertificateEffectiveDate 1/31/2023
CertificateExpirationDate 1/30/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024