Organization
CAMBREN LANE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN LATRICE WILBURN (EXECUTIVE DIRECTOR)
(713) 397-5047
Entity
Organization
Contact information
Practice address
11922 DURAN CANYON LN, HOUSTON, TX 77067-1047
(713) 397-5047
Mailing address
11922 DURAN CANYON LN, HOUSTON, TX 77067-1047
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
—
—
251300000X
Local Education Agency (LEA)
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253J00000X
Foster Care Agency
—
—
311Z00000X
Custodial Care Facility
—
—
343800000X
Secured Medical Transport (VAN)
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
07/25/2016
Last updated
05/25/2023
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