Organization
MARIBELLA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE GREEN (PRESIDENT ON BOARD OF DIRECTORS)
(832) 360-4656
Entity
Organization
Contact information
Practice address
7119 S GESSNER RD, STE A, HOUSTON, TX 77036-5438
(832) 360-4656
Mailing address
7119 S GESSNER RD, STE A, HOUSTON, TX 77036-5438
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/21/2012
Last updated
10/21/2012
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