Organization
MEDSOURCE BEHAVIORAL HEALTH SOLUTIONS, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERTRAND UDEAGHA (OPERATIONS MANAGER)
(281) 265-0095
Entity
Organization
Contact information
Practice address
10707 CORPORATE DR STE 210, STAFFORD, TX 77477-4001
(281) 265-0095
(281) 201-4531
Mailing address
10707 CORPORATE DR STE 210, STAFFORD, TX 77477-4001
(281) 265-0095
(281) 201-4531
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/02/2026
Last updated
07/02/2026
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