Organization
LIFE'S GOOD CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA LANDRY (OWNER)
(713) 660-8045
Entity
Organization
Contact information
Practice address
6060 BELLAIRE BLVD STE A, HOUSTON, TX 77081-5425
(713) 660-8045
(713) 660-8950
Mailing address
6060 BELLAIRE BLVD STE A, HOUSTON, TX 77081-5425
(713) 660-8045
(713) 660-8950
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
M4838
TX
363LP2300X
Primary Care Nurse Practitioner
Primary
708487
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
237238
PROVIDER LISCENSE NUMBER
NY
Enumeration date
07/30/2012
Last updated
09/26/2012
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