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Organization

AZA

Active
Parent organization
AZA
Other names
na
Organization subpart
Yes

Provider details

NPI number
Legal business name
AZA
Authorized official
MR. ALFRED DWAYNE JOHNSON (OWONER)
(832) 230-6794
Entity
Organization

Contact information

Practice address
8422 ASH GARDEN CT, HOUSTON, TX 77083-6522
(832) 230-6794
Mailing address
8422 ASH GARDEN CT, HOUSTON, TX 77083-6522
(832) 230-6794

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
TX

Other

Enumeration date
04/25/2016
Last updated
04/25/2016
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