Provider Demographics
NPI:1760774467
Name:FLU CLINICS OF SOUTHEAST TEXAS, INC.
Entity Type:Organization
Organization Name:FLU CLINICS OF SOUTHEAST TEXAS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:HECTOR
Authorized Official - Middle Name:
Authorized Official - Last Name:MEDELLIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-547-5786
Mailing Address - Street 1:9601 KATY FWY
Mailing Address - Street 2:SUITE 315
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1342
Mailing Address - Country:US
Mailing Address - Phone:713-547-5786
Mailing Address - Fax:713-467-6881
Practice Address - Street 1:9601 KATY FWY
Practice Address - Street 2:SUITE 315
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1342
Practice Address - Country:US
Practice Address - Phone:713-547-5786
Practice Address - Fax:713-467-6881
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-12
Last Update Date:2011-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXD5558174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty