Organization
INITECH ENTERPRISE INTERNATIONAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY BRYANT (CEO)
(409) 229-4280
Entity
Organization
Contact information
Practice address
6807 EMMETT F LOWRY EXPY STE 105, TEXAS CITY, TX 77591-2546
(409) 229-4280
(409) 347-5798
Mailing address
6807 EMMETT F LOWRY EXPY STE 105, TEXAS CITY, TX 77591-2546
(409) 229-4280
(409) 347-5798
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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