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Organization
PURE G KIDS, LLC
Active
Organization
PURE G KIDS, LLC
Active
Other names
Pure G Kids Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMIKA BUSH DO (CEO)
(432) 701-0093
Entity
Organization
Contact information
Practice address
21175 TOMBALL PKWY STE 379, HOUSTON, TX 77070
(432) 701-0093
Mailing address
21175 TOMBALL PKWY STE 379, HOUSTON, TX 77070-1655
(432) 701-0093
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
RO366
TX
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
06/11/2018
Last updated
07/22/2019
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