Organization
NIOMTECH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA MCKINNEY (BILLING DEPARTMENT)
(281) 462-1285
Entity
Organization
Contact information
Practice address
9153 WAGNER RIVER CIR, FOUNTAIN VALLEY, CA 92708-6449
(281) 462-1285
(281) 462-1554
Mailing address
PO BOX 1288, CROSBY, TX 77532-1288
(281) 462-1285
(281) 462-1554
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
07/20/2011
Last updated
07/20/2011
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