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Organization
MOMBY LLC
Active
Organization
MOMBY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER LOPEZ (DIRECTOR)
(713) 480-6820
Entity
Organization
Contact information
Practice address
2715 BISSONNET ST, SUITE 507, HOUSTON, TX 77005-1340
(713) 942-2051
(713) 942-2032
Mailing address
2715 BISSONNET ST, SUITE 507, HOUSTON, TX 77005-1340
(713) 942-2051
(713) 942-2032
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/28/2011
Last updated
03/28/2011
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