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Request an Appointment

Please provide the name of the patient that you are requesting the appointment for.  If this is a child, please provide parent or guardian name in the comment box.  
If you plan to use insurance for your visit, you MUST provide that information with your appointment request.  Please provide:  Insurance Name, Primary Member Name & date of birth, ID number, as well as a good contact phone number.  If this information is not provided, your request cannot be processed online.  In addition, if you have an HMO, you will need to contact your primary care physician for a referral.  Thank you.

Contact information

Name
Phone

Appointment details

Date
Time
I'm making an appointment for
Comments and Questions
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Please note that the date and time you requested may not be available. We will contact you to confirm your actual appointment details.

1234 Bay Area Blvd.
Suite E
Houston, TX 77058

Mon: 8:00AM - 6:00PM

Tue: 8:00AM - 7:00PM

Wed: 8:00AM - 6:00PM

Thu: 8:00AM - 5:00PM

Fri: 8:00AM - 12:00PM

Sat: 8:30AM - 11:30AM

Sun: Closed