is a Specialist in Houston, Texas. practices all healthcare services and medical treatments related to Specialist. The NPI Number for is 1659421535. The last update date is .
's current location address is 12060 Bellaire Blvd, Houston, Texas. You can contact this provider via phone number 2819830205 and fax number 2819830385. The mailing address for is 12060 Bellaire Blvd, Houston, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | |
|---|---|
| Address | 12060 Bellaire Blvd, Houston, Texas |
| Phone Number | 2819830205 |
| Fax Number | 2819830385 |
| Sole Proprietor | -- |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1659421535 |
|---|---|
| Provider Enumeration Date | |
| Last Updated Date |
Provider Mailing Address Detail
| Address | 12060 Bellaire Blvd |
|---|---|
| City | Houston |
| State | Texas (TX) |
| Post Code | 770722569 |
| Phone Number | 2819830205 |
| Fax Number | 2819830385 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | J2237 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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