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5815 Avenue A Rosharon TX 77583-7107 | |
| (281) 543-9458 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5815 Avenue A, Rosharon, Texas |
| Authorized Official Name and Position | Kay R Lewis (OWNER) |
| Authorized Official Contact | 2816872877 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
15 Greenway Plz Unit 20j Houston TX 77046-1506 Ph: (281) 687-2877 | 5815 Avenue A Rosharon TX 77583-7107 Ph: (281) 543-9458 |
| NPI Number | 1588198741 |
|---|---|
| Provider Enumeration Date | 04/14/2017 |
| Last Update Date | 04/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588198741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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