Individual
MRS. BOLATITO GRACE DADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15802 MISSION VILLAGE DR, HOUSTON, TX 77083-2338
(281) 323-8656
(800) 896-0760
Mailing address
15802 MISSION VILLAGE DR, HOUSTON, TX 77083-2338
(281) 323-8656
(800) 896-0760
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
NA08186829
TX
Other
Enumeration date
09/08/2009
Last updated
09/08/2009
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