Individual
REGINALD LEE MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9118 MESA DR, HOUSTON, TX 77028-1605
(832) 731-2148
Mailing address
1206 YUCCA MOUNTAIN DR, HOUSTON, TX 77090-6106
(832) 731-2148
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/18/2017
Last updated
06/18/2017
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