Organization
KIDZ-R-US
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LONNIE DEGGINS (DIRECTOR)
(936) 499-3720
Entity
Organization
Contact information
Practice address
12808 VETERANS MEMORIAL DR, HOUSTON, TX 77014-2004
(936) 499-3720
(888) 664-6404
Mailing address
PO BOX 79855, HOUSTON, TX 77279-9855
(936) 499-3720
(888) 664-6404
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
08693
TX
163W00000X
Registered Nurse
568702
TX
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
05/12/2017
Last updated
05/12/2017
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