Organization
LICE CLINICS OF AMERICA HOUSTON BAY AREA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAYNA WILLBANKS (OWNER AND OPERATOR)
(281) 375-3179
Entity
Organization
Contact information
Practice address
4420 BROADWAY ST, PEARLAND, TX 77581-4018
(281) 375-3179
Mailing address
4420 BROADWAY ST, PEARLAND, TX 77581-4018
(281) 375-3179
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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