Organization
STADIUM EMERGENCY SHELTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. RITA J. TRYON (SECRETARY)
(713) 624-0025
Entity
Organization
Contact information
Practice address
21882 E WALLIS DR, PORTER, TX 77365-5366
(832) 436-1596
Mailing address
21882 E WALLIS DR, PORTER, TX 77365-5366
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
—
—
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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