| Cast | |
|
25910 Oak Ridge Dr The Woodlands TX 77380-2018 | |
| (281) 367-9836 | |
| (281) 362-1473 |
| Full Name | Cast |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 25910 Oak Ridge Dr, The Woodlands, Texas |
| Authorized Official Name and Position | Norma Kay Lord (DIRECTOR) |
| Authorized Official Contact | 2813679836 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cast 25910 Oak Ridge Dr The Woodlands TX 77380-2018 Ph: (281) 367-9836 | Cast 25910 Oak Ridge Dr The Woodlands TX 77380-2018 Ph: (281) 367-9836 |
| NPI Number | 1578615670 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 11/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578615670 | NPI | - | NPPES |
| 0639395-01 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | S15704 (Texas) | Primary |
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