NPI 1134573264

Forever Young Adult Care

Organisation Preferred Provider Organization Houston, TX

Practice location

Address: 12801 Roydon Dr. APT 2215, Houston, TX 77034
Phone: (281) 786-9809
Mailing address: 12801 Roydon Dr APT 2215, Houston, TX 77034-4879

Authorised official

Name: Latavia Dominique Carter
Title: Mananger
Phone: (281) 786-9809

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1134573264
Entity type: Organization
NPI issued: 14 Apr 2016
Record last updated: 14 Apr 2016

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.