Haesly Retail Services, Inc.

NPI 1407865025 - Specialist - 174400000X

NPI Details
NPI 1407865025
Enumeration Date 08/05/2006
Last Updated 03/11/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name KENNETH BANKS KENNETH
Position OWNER
Phone (713) 869-4700
Fax (713) 869-3578
Practice Location
1708 W 24TH ST
HOUSTON TX, 77008-1410, US
Phone (713) 869-4700
Fax (713) 869-3578
Business Location
1708 W 24TH ST
HOUSTON TX, 77008-1410, US
Phone (713) 869-4700
Fax (713) 869-3578
Toxanomy
Taxonomy Code 174400000X
License State Texas
License Number 50039
Remove 1407865025 NPI Number
 

According to our database, Haesly Retail Services, Inc. NPI is 1407865025, taxonomy code is 174400000X and license number is 50039, license state is located at Texas. Haesly Retail Services, Inc. physically located at 1708 W 24th St, Houston TX, 77008-1410. NPI Number 1033115704 has the healthcare provider type.

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1407865025 NPI number is provided on an as is basis without warranty of any kind. 1407865025 is maintained by the National Plan & Provider Enumeration System. The contents of Haesly Retail Services, Inc. are for informational purposes only.