NPI 1134749815
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Practice location
- Address
- 10729 Sandpiper Dr, Houston, TX 77096-5413
- Phone
- (832) 566-3339
Registered specialties
Mental Illness Community Based Residential Treatment Facility
Primary
Registry record
- NPI
- 1134749815
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 22 Apr 2020
- Record last updated
- 3 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.