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Organization
VALENCIA HS KATY WEST LLC
Active
Organization
VALENCIA HS KATY WEST LLC
Active
Other names
Healthsource of Katy West
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE VALENCIA (OWNER)
(281) 704-0144
Entity
Organization
Contact information
Practice address
1417 FM 1463 RD STE 140, KATY, TX 77494-5479
(281) 704-0144
Mailing address
801 FM 1463 RD STE 200-210, KATY, TX 77494-7924
(281) 704-0144
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
261QR0200X
Radiology Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
Other
Enumeration date
01/08/2019
Last updated
01/08/2019
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