Organization
CACTUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNAMON DAVIS (MANAGER)
(832) 687-1111
Entity
Organization
Contact information
Practice address
794 NORMANDY ST APT 1435, HOUSTON, TX 77015-3484
(832) 687-1111
Mailing address
PO BOX 24052, HOUSTON, TX 77229-4052
(832) 687-1111
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
—
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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