Organization
IBEJI VILLAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THALIA LAEL MICAH (OWNER)
(772) 332-9885
Entity
Organization
Contact information
Practice address
2950 S GESSNER RD STE 208, HOUSTON, TX 77063-3774
(772) 332-9885
Mailing address
2950 S GESSNER RD STE 208, HOUSTON, TX 77063-3774
(772) 332-9885
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/26/2023
Last updated
05/26/2023
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