Organization
SI'LOAM CO LLC
Active
Other names
Si'Loam Co Cranial Prosthesis Program
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TRINITY DAVIS (CEO)
(346) 234-3099
Entity
Organization
Contact information
Practice address
5110 GRIGGS RD APT 1241, HOUSTON, TX 77021-3233
(346) 234-3099
(832) 201-0838
Mailing address
3139 W HOLCOMBE BLVD STE 2082, HOUSTON, TX 77025-1533
(346) 234-3099
(832) 201-0838
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/22/2022
Last updated
04/22/2022
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