Organization
NW CONVENIENCE HEALTH CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TRAEVIS ANDERSON (OWNER)
(832) 678-5881
Entity
Organization
Contact information
Practice address
13656 BRETON RIDGE ST, SUITE C, HOUSTON, TX 77070-6081
(832) 678-5881
(832) 678-5882
Mailing address
13656 BRETON RIDGE ST, SUITE C, HOUSTON, TX 77070-6081
(832) 678-5881
(832) 678-5882
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
014578
TX
Other
Enumeration date
08/29/2011
Last updated
03/19/2012
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