Organization
MADDOX INVT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FABIOLA YASIRA BOTLER IZAGUIRRE (MANAGER)
(832) 466-5534
Entity
Organization
Contact information
Practice address
7555 BELLAIRE BLVD STE C, HOUSTON, TX 77036-5055
(832) 466-5534
Mailing address
24603 DOVER BEND WAY, RICHMOND, TX 77406-2841
(832) 466-5534
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QV0200X
VA Clinic/Center
—
—
Other
Enumeration date
11/27/2023
Last updated
11/27/2023
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