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NPI 1134749815 · on the registry since 2020 · sole proprietor

Practice

Address
10729 Sandpiper Dr
Houston, TX 77096
Phone
(832) 566-3339
Organisation at this address
Bod Health Care Service
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Mental Illness Community Based Residential Treatment Facility
320800000X
Sex
Male
Record last updated
2020-08-03

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