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111 S Avenue B Humble TX 77338-4510 | |
| (281) 733-7525 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Case Management |
| Location | 111 S Avenue B, Humble, Texas |
| Authorized Official Name and Position | Robert Panzarella (CEO) |
| Authorized Official Contact | 2817337525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
111 S Avenue B Humble TX 77338-4510 Ph: () - | 111 S Avenue B Humble TX 77338-4510 Ph: (281) 733-7525 |
| NPI Number | 1831932151 |
|---|---|
| Provider Enumeration Date | 06/14/2024 |
| Last Update Date | 07/13/2024 |
| Certification Date | 07/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831932151 | NPI | - | NPPES |
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