Organization
GUERISON INTERESTS LLLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ETHAN TODD BROWN MD (OWNER)
(281) 395-9900
Entity
Organization
Contact information
Practice address
25765 KATY FWY, KATY, TX 77494-1286
(281) 395-9900
Mailing address
25765 KATY FREEWAY, KATY, TX 77494
(281) 395-9900
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
160053
TX
Other
Enumeration date
12/21/2012
Last updated
12/21/2012
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