Individual
INGRAM R ALFRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2930 CYPRESS GROVE MEADOW DR, HOUSTON, TX 77014
(281) 315-1450
Mailing address
6710 SPRINGFIELD GARDEN LN, SPRING, TX 77379-3757
(713) 591-5895
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
213649
TX
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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