# KIDZ-R-US

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417484114
- **Authorized official:** LONNIE DEGGINS (DIRECTOR)
- **Authorized official phone:** (936) 499-3720

## Contact information

- **Practice address:** 12808 VETERANS MEMORIAL DR, HOUSTON, TX 77014-2004
- **Practice address phone:** (936) 499-3720
- **Practice address fax:** (888) 664-6404
- **Mailing address:** PO BOX 79855, HOUSTON, TX 77279-9855
- **Mailing address phone:** (936) 499-3720
- **Mailing address fax:** (888) 664-6404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | 08693 | TX | — |
| 163W00000X | Registered Nurse | 568702 | TX | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/12/2017
- **Last updated:** 05/12/2017