| Gods Incredible Light On The Path To His Word Fellowship Center | |
|
1759 County Road 486 Dayton TX 77535-7968 | |
| (281) 830-0511 | |
| (281) 667-3116 |
| Full Name | Gods Incredible Light On The Path To His Word Fellowship Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1759 County Road 486, Dayton, Texas |
| Authorized Official Name and Position | Andros Sheppard (SR PASTOR) |
| Authorized Official Contact | 2818300511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gods Incredible Light On The Path To His Word Fellowship Center 1759 County Road 486 Dayton TX 77535-7968 Ph: (281) 830-0511 | Gods Incredible Light On The Path To His Word Fellowship Center 1759 County Road 486 Dayton TX 77535-7968 Ph: (281) 830-0511 |
| NPI Number | 1245897867 |
|---|---|
| Provider Enumeration Date | 05/20/2019 |
| Last Update Date | 01/15/2025 |
| Certification Date | 01/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245897867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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