Organization
LOVELY BY BECKY, LLC
Active
Other names
Modern Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA WHITE NP (OWNER)
(832) 572-0448
Entity
Organization
Contact information
Practice address
15035 EAST FWY, CHANNELVIEW, TX 77530-4151
(832) 572-0448
Mailing address
15035 EAST FWY, CHANNELVIEW, TX 77530-4151
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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