Organization
AEON FOUNDATION
Active
Other names
Aeon Medical and Dental Community Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PHYLLIS ROSHAN (PRESIDENT & CEO)
(770) 876-3954
Entity
Organization
Contact information
Practice address
1010 WAVERLY ST, HOUSTON, TX 77008-6760
(832) 804-8268
(832) 804-8259
Mailing address
1010 WAVERLY ST, HOUSTON, TX 77008-6760
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/07/2016
Last updated
03/07/2016
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