Organization
TOXICOLOGY ASSOCIATES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHNNY RAIA III (ADMINISTRATOR)
(713) 541-3218
Entity
Organization
Contact information
Practice address
2411 FRANKLIN ST, LA MARQUE, TX 77568-6303
(409) 935-3749
(409) 935-1892
Mailing address
6910 BELLAIRE BLVD, SUITE 12, HOUSTON, TX 77074-3509
(713) 541-3218
(713) 541-3217
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
0000009
TX
Other
Enumeration date
04/30/2010
Last updated
04/30/2010
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