Individual
BERTHA DORIS PEOPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5006 OAK STAND CT, KATY, TX 77449-4575
(832) 212-0168
Mailing address
5006 OAK STAND CT, KATY, TX 77449-4575
(832) 212-0168
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
TX
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
TX
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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