Provider Demographics
NPI:1003548140
Name:HOUSTON METRO CITY MEDICAL CENTER
Entity Type:Organization
Organization Name:HOUSTON METRO CITY MEDICAL CENTER
Other - Org Name:HOUSTON MEDICAL CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:WINIFRED
Authorized Official - Middle Name:
Authorized Official - Last Name:KING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-773-7343
Mailing Address - Street 1:850 CYPRESS CREEK PKWY STE M
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-3413
Mailing Address - Country:US
Mailing Address - Phone:281-781-8266
Mailing Address - Fax:
Practice Address - Street 1:850 CYPRESS CREEK PKWY STE M
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-3413
Practice Address - Country:US
Practice Address - Phone:281-781-8266
Practice Address - Fax:281-781-8525
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOUSTON METRO CITY WELLNESS CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-06-28
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty