Address: | 15015 Kirby Dr #200, Houston, TX 77047, USA |
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Postal code: | 77047 |
Phone: | (281) 557-8555 |
Website: | http://www.pulmonarysleephouston.com/ |
Monday: | 8:30 AM – 5:00 PM |
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Tuesday: | 8:30 AM – 5:00 PM |
Wednesday: | 8:30 AM – 5:00 PM |
Thursday: | 8:30 AM – 5:00 PM |
Friday: | 8:30 AM – 5:00 PM |
Saturday: | Closed |
Sunday: | Closed |
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Patient Intake Questionnaire. LIST CURRENT MEDICATIONS (Including Herbs and over the counter medications/ supplements) Medications Dose How Often **If list is longer than boxes provided, continue list on back of this form**
View patient_intake_questionnaire.doc from TR445 998 at Jordan University of Science & Tech. PULMONARY AND SLEEP PHYSICIANS OF HOUSTON, P.A. 501 ORCHARD, SUITE 200.
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