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1301 Mckinney St Houston TX 77010-3031 | |
| (832) 271-4707 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1301 Mckinney St, Houston, Texas |
| Authorized Official Name and Position | Nizete-ly Valles (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 8322714707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
13811 Sutton Glen Ln Houston TX 77047-7543 Ph: (319) 270-5705 | 1301 Mckinney St Houston TX 77010-3031 Ph: (832) 271-4707 |
| NPI Number | 1124839790 |
|---|---|
| Provider Enumeration Date | 01/14/2025 |
| Last Update Date | 01/17/2025 |
| Certification Date | 01/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124839790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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