# OBSEQUIOUS SYSTEMS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** HOUSTON WELLNESS BOUTIQUE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972831279
- **Authorized official:** TERRY TRIBBLE CMF (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (713) 522-7465

## Contact information

- **Practice address:** 4009 BELLAIRE BLVD, STE GG, HOUSTON, TX 77025-1168
- **Practice address phone:** (713) 522-7465
- **Practice address fax:** (832) 218-2949
- **Mailing address:** 4009 BELLAIRE BLVD, STE GG, HOUSTON, TX 77025-1168
- **Mailing address phone:** (713) 522-7465
- **Mailing address fax:** (832) 218-2949

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 0109381 | TX | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 11/24/2009
- **Last updated:** 03/06/2014