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16000 Stuebner Airline Rd Ste 285 Spring TX 77379-7377 | |
| (713) 300-1867 | |
| (713) 456-2211 |
| Full Name | |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 16000 Stuebner Airline Rd Ste 285, Spring, Texas |
| Authorized Official Name and Position | Paula S Tedder (OPERATIONS MANAGER) |
| Authorized Official Contact | 7133001867 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
16000 Stuebner Airline Rd Ste 285 Spring TX 77379-7377 Ph: (713) 300-1867 | 16000 Stuebner Airline Rd Ste 285 Spring TX 77379-7377 Ph: (713) 300-1867 |
| NPI Number | 1518463637 |
|---|---|
| Provider Enumeration Date | 04/05/2018 |
| Last Update Date | 11/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518463637 | NPI | - | NPPES |
| 384095101 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 202922 (Texas) | Primary |
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