Idic Healthcare, Pllc

NPI 1174966915 - Counselor - 101YM0800X

NPI Details
NPI 1174966915
Enumeration Date 04/11/2013
Last Updated 03/08/2016
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name STEVEN L STEVEN
Position MANAGING MEMBER
Phone (832) 248-4636
Fax (866) 804-7241
Practice Location
1010 WAVERLY ST
SUITE 101
HOUSTON TX, 77008-6760, US
Phone (832) 248-4636
Fax (866) 804-7241
Business Location
5726 SAGAMORE BAY LN
RICHMOND TX, 77469-7398, US
Phone (832) 248-4636
Fax
Toxanomy
Taxonomy Code 101YM0800X
License State
License Number
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According to our database, Idic Healthcare, Pllc NPI is 1174966915, taxonomy code is 101YM0800X Idic Healthcare, Pllc physically located at 1010 Waverly St, Houston TX, 77008-6760. NPI Number 1033115704 has the healthcare provider type.

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1174966915 NPI number is provided on an as is basis without warranty of any kind. 1174966915 is maintained by the National Plan & Provider Enumeration System. The contents of Idic Healthcare, Pllc are for informational purposes only.