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Organization

FRSTTEXAS CONSULTANTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL V BODIN (DIRECTOR)
(832) 962-3778
Entity
Organization

Contact information

Practice address
11211 KATY FWY, SUITE 620, HOUSTON, TX 77079-2126
(832) 962-3778
Mailing address
11211 KATY FWY, SUITE 620, HOUSTON, TX 77079-2126
(832) 962-3778

Taxonomy

Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
21625
TX
2251X0800X
Orthopedic Physical Therapist
1237869
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
32038211564
TEXAS FRANCHISE TAX ID
TX
Enumeration date
04/23/2015
Last updated
05/08/2015
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