Organization
PROGRAM FOR SIDE EFFECTS MANAGEMENT
Active
Other names
Houston Buyers Coub
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRED WALTERS JR. (EXECUTIVE DIRECTOR)
(713) 520-5288
Entity
Organization
Contact information
Practice address
3224 YOAKUM BLVD, HOUSTON, TX 77006-3926
(713) 520-5288
(713) 521-7419
Mailing address
3224 YOAKUM BLVD, HOUSTON, TX 77006-3926
(713) 520-5288
(713) 521-7419
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
08/20/2008
Last updated
08/22/2008
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