Individual
MR. AGLASS N INYANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PRESIDENT
Contact information
Practice address
104 INDUSTRIAL BLVD, SUITE L, SUGAR LAND, TX 77478-3180
(281) 491-4091
(281) 491-8183
Mailing address
104 INDUSTRIAL BLVD, SUITE L, SUGAR LAND, TX 77478-3180
(281) 491-4091
(281) 491-8183
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
TX14205
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0097147
FOOD WHOLESALER & DEVICE
TX
Enumeration date
09/18/2007
Last updated
09/18/2007
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