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5022 Broadway St Pearland TX 77581-3939 | |
| (334) 740-4523 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5022 Broadway St, Pearland, Texas |
| Authorized Official Name and Position | Jaeyeon Jeff Kim (GENERAL MANAGER) |
| Authorized Official Contact | 3347404523 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5022 Broadway St Pearland TX 77581-3939 Ph: () - | 5022 Broadway St Pearland TX 77581-3939 Ph: (334) 740-4523 |
| NPI Number | 1639744899 |
|---|---|
| Provider Enumeration Date | 05/20/2021 |
| Last Update Date | 01/06/2023 |
| Certification Date | 01/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639744899 | NPI | - | NPPES |
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