| Mjmah24 Llc | |
|
21316 Provincial Blvd Katy TX 77450-7580 | |
| (281) 733-7525 | |
| Not Available |
| Full Name | Mjmah24 Llc |
|---|---|
| Speciality | Case Management |
| Location | 21316 Provincial Blvd, Katy, Texas |
| Authorized Official Name and Position | Michael Moist (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2817337525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mjmah24 Llc 21316 Provincial Blvd Katy TX 77450-7580 Ph: (281) 733-7525 | Mjmah24 Llc 21316 Provincial Blvd Katy TX 77450-7580 Ph: (281) 733-7525 |
| NPI Number | 1861247181 |
|---|---|
| Provider Enumeration Date | 04/19/2024 |
| Last Update Date | 04/19/2024 |
| Certification Date | 04/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861247181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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