Organization
KINSLEY QUEEN INC.
Active
Other names
KQ NETS
Organization subpart
No
Provider details
NPI number
Authorized official
WALLACE HARRIS II (DIRECTOR)
(281) 683-5053
Entity
Organization
Contact information
Practice address
7981 LITTLE STREET, HOUSTON, TX 77028
(281) 683-5053
Mailing address
PO BOX 550305, HOUSTON, TX 77255-0305
(281) 683-5053
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
TX
172V00000X
Community Health Worker
—
TX
225800000X
Recreation Therapist
—
TX
310400000X
Assisted Living Facility
—
TX
343900000X
Non-emergency Medical Transport (VAN)
Primary
23840944
TX
347C00000X
Private Vehicle
23840944
TX
347E00000X
Transportation Broker
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407157860
PRIVATE PAY
TX
05
—
1407157860
—
TX
Enumeration date
09/06/2017
Last updated
06/16/2018
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