| Certuslogue, Pllc | |
|
11211 Katy Fwy Suite 285 Houston TX 77079-2126 | |
| (713) 632-4658 | |
| Not Available |
| Full Name | Certuslogue, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 11211 Katy Fwy, Houston, Texas |
| Authorized Official Name and Position | Connie Villasmil (OWNER) |
| Authorized Official Contact | 7136324658 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Certuslogue, Pllc 815 Carlingford Ln Houston TX 77079-3204 Ph: (713) 632-4658 | Certuslogue, Pllc 11211 Katy Fwy Suite 285 Houston TX 77079-2126 Ph: (713) 632-4658 |
| NPI Number | 1538604152 |
|---|---|
| Provider Enumeration Date | 01/05/2017 |
| Last Update Date | 01/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538604152 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 56541 (Texas) | Primary |
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