Fountain Of Life Llc

NPI 1710223573 - Clinic/Center - 261QP2300X

NPI Details
NPI 1710223573
Enumeration Date 12/26/2012
Last Updated 07/30/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name CYNTHIA DIANE CYNTHIA
Position DR
Phone (832) 548-1701
Fax (713) 393-7466
Practice Location
1820 W 43RD ST
HOUSTON TX, 77018-3006, US
Phone (832) 548-1701
Fax (713) 393-7466
Business Location
1820 W 43RD ST
HOUSTON TX, 77018-3006, US
Phone (832) 548-1701
Fax (713) 393-7466
Toxanomy
Taxonomy Code 261QP2300X
License State
License Number
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According to our database, Fountain Of Life Llc NPI is 1710223573, taxonomy code is 261QP2300X Fountain Of Life Llc physically located at 1820 W 43rd St, Houston TX, 77018-3006. NPI Number 1033115704 has the healthcare provider type.

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1710223573 NPI number is provided on an as is basis without warranty of any kind. 1710223573 is maintained by the National Plan & Provider Enumeration System. The contents of Fountain Of Life Llc are for informational purposes only.