Organization
PACIFIC WEST SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA A NABORS (PROGRAM SERVICE DIRECTOR)
(832) 647-2859
Entity
Organization
Contact information
Practice address
4434 BLUEBONNET DR STE 145, STAFFORD, TX 77477-2904
(832) 647-2859
(281) 277-0411
Mailing address
16634 TRANQUIL DR, SUGAR LAND, TX 77498-1983
(832) 647-2859
(281) 277-0411
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
0311434
CA
305R00000X
Preferred Provider Organization
Primary
—
—
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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