Organization
HAGAMOSLO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. L B BRYANT MA (COUNSELOR)
(832) 473-1377
Entity
Organization
Contact information
Practice address
9950 WESTPARK DR STE 322, HOUSTON, TX 77063-5206
(832) 613-4598
Mailing address
9950 WESTPARK DR STE 322, HOUSTON, TX 77063-5206
(832) 613-4598
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
302F00000X
Exclusive Provider Organization
—
—
Other
Enumeration date
10/06/2016
Last updated
10/06/2016
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