Organization
ADMIRABLE PROVIDER SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CYRUS BENJAMIN WASHINGTON JR. (OWNER)
(832) 602-6212
Entity
Organization
Contact information
Practice address
13202 BRIAR FOREST DR APT 4264, HOUSTON, TX 77077-2458
(832) 602-6212
Mailing address
13202 BRIAR FOREST DR APT 4264, HOUSTON, TX 77077-2458
(832) 602-6212
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
TX
Other
Enumeration date
04/18/2017
Last updated
04/18/2017
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