| Peniel Health Services Corporation | |
|
9331 Stablewood Lakes Ln Tomball TX 77375-1279 | |
| (832) 661-2730 | |
| (281) 547-8220 |
| Full Name | Peniel Health Services Corporation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9331 Stablewood Lakes Ln, Tomball, Texas |
| Authorized Official Name and Position | Waveney Rose Lagrone (ADMINISTRATOR) |
| Authorized Official Contact | 8326612730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peniel Health Services Corporation Po Box 133372 Spring TX 77393-3372 Ph: (832) 661-2730 | Peniel Health Services Corporation 9331 Stablewood Lakes Ln Tomball TX 77375-1279 Ph: (832) 661-2730 |
| NPI Number | 1417578402 |
|---|---|
| Provider Enumeration Date | 04/30/2020 |
| Last Update Date | 04/30/2020 |
| Certification Date | 04/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417578402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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