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9802 Farm To Market 1960 Bypass Humble TX 77338 | |
| (281) 706-4631 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9802 Farm To Market 1960 Bypass, Humble, Texas |
| Authorized Official Name and Position | June Williams Fuller (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2817064631 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 2063 Humble TX 77347-2063 Ph: (832) 264-5293 | 9802 Farm To Market 1960 Bypass Humble TX 77338 Ph: (281) 706-4631 |
| NPI Number | 1306494687 |
|---|---|
| Provider Enumeration Date | 08/29/2019 |
| Last Update Date | 12/11/2019 |
| Certification Date | 12/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306494687 | NPI | - | NPPES |
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