NPI 1043204530

Emerald Blue Health Care Services

Organisation Contractor Houston, TX

Practice location

Address: 822 Garden Trace Ln, Houston, TX 77018-6342
Phone: (832) 876-1360
Fax: (713) 426-3603

Authorised official

Name: Mytoia Moss
Title: Owner/Program Director
Phone: (832) 876-1360

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1043204530
Entity type: Organization
NPI issued: 9 Sep 2005
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.