Organization
PRIME CARE PAVILION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MUHAMMAD AYAZ WADIA (CEO)
(832) 638-4389
Entity
Organization
Contact information
Practice address
11107 RAINY CANYON LN, RICHMOND, TX 77406-1683
(832) 638-4389
Mailing address
11107 RAINY CANYON LN, RICHMOND, TX 77406-1683
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
About Stedi
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