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Organization

COMPLETE CONSTRUCTION AND DESIGN

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. IVORY MAYHORN JR. (EXECUTIVE DIRECTOR)
(800) 596-1250
Entity
Organization

Contact information

Practice address
9723 HOMESTEAD RD, HOUSTON, TX 77016-4403
(800) 596-1250
(800) 918-6970
Mailing address
9723 HOMESTEAD RD, HOUSTON, TX 77016-4403
(800) 596-1250
(800) 918-6970

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
57323
TX
111N00000X
Chiropractor
9035
TX
208D00000X
General Practice Physician
Primary

Other

Enumeration date
07/18/2014
Last updated
07/18/2014
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