Organization
THE LIGHTHOUSE OF HOUSTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHELAGH K MORAN (VP/CHIEF OPERATIONAL OFFICER)
(713) 284-8490
Entity
Organization
Contact information
Practice address
3602 W DALLAS ST, HOUSTON, TX 77019-1704
(713) 527-9561
Mailing address
3602 W DALLAS ST, HOUSTON, TX 77019-1704
(713) 527-9561
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131010407
—
TX
Enumeration date
07/25/2007
Last updated
07/25/2007
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