Organization
AMYGDALA CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLAJIDE H MASHA MD (MEDICAL DIRECTOR)
(713) 772-1111
Entity
Organization
Contact information
Practice address
8875 W BELLFORT ST STE B, HOUSTON, TX 77031-2566
(713) 772-1111
Mailing address
8875 W BELLFORT ST STE B, HOUSTON, TX 77031-2566
(713) 772-1111
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
M7406
TX
Other
Enumeration date
01/05/2013
Last updated
06/24/2013
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