REALISTIC MEDICAL CLINIC, LLC is a contractor in Houston, TX. The provider is a person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). REALISTIC MEDICAL CLINIC, LLC NPI is 1972911725. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
2646 S LOOP W
SUITE 520
HOUSTON, TX
ZIP 77054-665
Phone: (713) 434-5877
Fax: (832) 834-7539
The provider's authorized official is Lloyd David Randall .
The authorized official title is Administrator and has the following contact phone number (713) 434-5877.
The CLIA number assigned to this NPI record is 45D2107374 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/24/2014 and was last updated on 4/20/2015.