Individual
SIMON OLUBUNMI EDGAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21739 MANITOU FALLS LN, KATY, TX 77449-4697
(832) 748-4240
Mailing address
14601 BELLAIRE BLVD STE 208, HOUSTON, TX 77083-2505
(832) 748-4240
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
11/06/2018
Last updated
11/06/2018
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