Individual
BRICE MBAMEG MAHENDJE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5258 SAN PABLO GARDENS DR, HOUSTON, TX 77045-4043
(832) 507-8769
Mailing address
5258 SAN PABLO GARDENS DR, HOUSTON, TX 77045-4043
(832) 507-8769
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MEDICAL TRANSPORT
—
TX
Enumeration date
12/09/2015
Last updated
12/09/2015
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