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Madison Beohtweh, MENTAL HEALTH TECH

NPI 1053047001 · on the registry since 2022

Practice

Address
8315 Ballina Ridge Ct
Houston, TX 77083
Phone
(402) 318-2805
Organisation at this address
Gradison Agape Homes Inc.
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
103TM1800X
103TM1800X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas