Mo Bethel, Llc | |
5214 Rollingstone Rd Richmond TX 77407-4133 | |
(713) 459-7861 | |
(281) 857-6658 |
Full Name | Mo Bethel, Llc |
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Speciality | Community/behavioral Health |
Location | 5214 Rollingstone Rd, Richmond, Texas |
Authorized Official Name and Position | Oritsemoyogbemi Nagocson Edema (MANAGING MEMBER) |
Authorized Official Contact | 7134597861 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mo Bethel, Llc 5214 Rollingstone Rd Richmond TX 77407-4133 Ph: (713) 459-7861 | Mo Bethel, Llc 5214 Rollingstone Rd Richmond TX 77407-4133 Ph: (713) 459-7861 |
NPI Number | 1376775916 |
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Provider Enumeration Date | 08/16/2009 |
Last Update Date | 08/16/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376775916 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (Texas) | Primary |
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