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Organization
GMC RESTORATIVE THERAPY
Active
Organization
GMC RESTORATIVE THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANICE LEONARD MEDIATOR (DIRECTOR)
(713) 661-3233
Entity
Organization
Contact information
Practice address
2616 S LOOP W, HOUSTON, TX 77054-2662
(713) 661-3233
(713) 904-2455
Mailing address
2616 S LOOP W, HOUSTON, TX 77054-2662
(713) 661-3233
(713) 904-2455
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
111NR0400X
Rehabilitation Chiropractor
—
NULL
111NR0400X
Rehabilitation Chiropractor
—
—
207QA0505X
Adult Medicine Physician
—
NULL
207QA0505X
Adult Medicine Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
NULL
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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