Organization
PRAC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARMEN E EULIRATE (OWNER)
(281) 236-7061
Entity
Organization
Contact information
Practice address
23715 AYSCOUGH LN, KATY, TX 77493-3419
(281) 236-7061
Mailing address
23715 AYSCOUGH LN, KATY, TX 77493-3419
(281) 236-7061
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
07344684
TX
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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