| |
605 Holderrieth Blvd Tomball TX 77375-6445 | |
(281) 401-7500 | |
(281) 351-4904 |
Full Name | |
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Speciality | Psychiatric Unit |
Location | 605 Holderrieth Blvd, Tomball, Texas |
Authorized Official Name and Position | Laurie Holtsford (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 6154657466 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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605 Holderrieth Blvd Tomball TX 77375-6445 Ph: (281) 401-7500 | 605 Holderrieth Blvd Tomball TX 77375-6445 Ph: (281) 401-7500 |
NPI Number | 1619259751 |
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Provider Enumeration Date | 09/14/2011 |
Last Update Date | 01/30/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619259751 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
273R00000X | Psychiatric Unit | (Texas) | Primary |
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