Individual
PAUL OKITANGOLO WEMBOLENGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15000 BELLAIRE BLVD STE 0, HOUSTON, TX 77083-2536
(713) 371-7596
Mailing address
24306 MERLIN ROOST CT, KATY, TX 77494-4816
(346) 297-0588
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
20902353
TX
Other
Enumeration date
03/15/2022
Last updated
03/15/2022
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