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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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