Phan Healthcare Services

NPI 1023035110 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1023035110
Enumeration Date 07/16/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name VICTOR VICTOR
Position PROGRAM DIRECTOR
Phone (281) 564-3473
Fax (281) 564-3475
Practice Location
14601 BELLAIRE BLVD STE 45
HOUSTON TX, 77083-2544, US
Phone (281) 564-3473
Fax (281) 564-3475
Business Location
14601 BELLAIRE BLVD STE 45
HOUSTON TX, 77083-2544, US
Phone
Fax (281) 564-3475
Toxanomy
Taxonomy Code 320900000X
License State Texas
License Number 086Q
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According to our database, Phan Healthcare Services NPI is 1023035110, taxonomy code is 320900000X and license number is 086Q, license state is located at Texas. Phan Healthcare Services physically located at 14601 Bellaire Blvd Ste 45, Houston TX, 77083-2544. NPI Number 1033115704 has the healthcare provider type.

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1023035110 NPI number is provided on an as is basis without warranty of any kind. 1023035110 is maintained by the National Plan & Provider Enumeration System. The contents of Phan Healthcare Services are for informational purposes only.