Organization
LEVEL ONE FOUNDATION INC
Active
Organization
LEVEL ONE FOUNDATION INC
Active
Other names
D and S MEDICAL OF HOUSTON WEIGHT LOSS CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DERWIN JEROME BLACKSHEAR (CEO)
(713) 290-8075
Entity
Organization
Contact information
Practice address
3460 ELLA BLVD, HOUSTON, TX 77018-6135
(832) 387-3918
Mailing address
3460 ELLA BLVD, HOUSTON, TX 77018-6135
(832) 387-3918
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
04/16/2011
Last updated
04/16/2011
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