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Organization

EXCELLENT LIFE PEDIATRICS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THECLAR OMEH (OWNER)
(281) 802-8927
Entity
Organization

Contact information

Practice address
10701 CORPORATE DR STE 232, STAFFORD, TX 77477-4050
(281) 802-8927
Mailing address
10701 CORPORATE DR STE 232, STAFFORD, TX 77477-4050
(281) 802-8927

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
10/01/2024
Last updated
10/01/2024
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