Provider Demographics
NPI:1013403344
Name:PHOENIX CLINICAL RESEARCH INC
Entity Type:Organization
Organization Name:PHOENIX CLINICAL RESEARCH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:FRANCES
Authorized Official - Middle Name:M
Authorized Official - Last Name:SANDFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-478-4840
Mailing Address - Street 1:3314 DEERWOOD LN
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-3636
Mailing Address - Country:US
Mailing Address - Phone:713-478-4840
Mailing Address - Fax:832-252-1501
Practice Address - Street 1:17510 W GRAND PKWY S STE 180
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2647
Practice Address - Country:US
Practice Address - Phone:281-238-3100
Practice Address - Fax:832-252-1501
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-10
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service