Organization
SECOND SILHOUETTE, INC
Active
Parent organization
SECOND SILHOUETTE, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SECOND SILHOUETTE, INC
Authorized official
PAMELA J PETAK (OFFICE MANAGER)
(713) 529-3733
Entity
Organization
Contact information
Practice address
13144 MEMORIAL DR, HOUSTON, TX 77079-7200
(713) 935-9390
(713) 935-0730
Mailing address
13144 MEMORIAL DR, HOUSTON, TX 77079-7200
(713) 935-9390
(713) 935-0730
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
11/25/2006
Last updated
11/01/2007
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