Organization
G.LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FLOYD R JACKSON (CEO/SOLE PROPRIETOR)
(832) 484-2308
Entity
Organization
Contact information
Practice address
7322 THUROW ST, HOUSTON, TX 77087-3721
(832) 484-2308
(832) 201-9729
Mailing address
7322 THUROW ST, HOUSTON, TX 77087-3721
(832) 484-2308
(832) 201-9729
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1
—
TX
Enumeration date
12/28/2013
Last updated
12/28/2013
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