Individual
MR. LAWRENCE WILLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8911 CORBRIDGE DR, RICHMOND, TX 77469-5516
(281) 226-3313
Mailing address
8911 CORBRIDGE DR, RICHMOND, TX 77469-5516
(281) 226-3313
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
09/02/2009
Last updated
09/02/2009
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