Individual
EBONIE D PAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2531 CARTWRIGHT RD, MISSOURI CITY, TX 77459-2606
(832) 209-9889
Mailing address
7218 TOWERVIEW LN, MISSOURI CITY, TX 77489-2434
(832) 209-9889
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
1598682
TX
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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