Organization
ADVANCE MEDICAL ACCPTANCE
Active
Other names
MEDILINE MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMMANUEL M LORD (ADMISTRATOR)
(713) 432-9400
Entity
Organization
Contact information
Practice address
6550 MAPLERIDGE ST, SUITE 214, HOUSTON, TX 77081-4647
(713) 432-9400
(713) 432-9401
Mailing address
6550 MAPLERIDGE ST STE 214, HOUSTON, TX 77081-4647
(713) 432-9400
(713) 432-9401
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103G00000X
Clinical Neuropsychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
146M00000X
Intermediate Emergency Medical Technician
—
—
364SC1501X
Community Health/Public Health Clinical Nurse Specialist
—
—
Other
Enumeration date
02/11/2010
Last updated
02/11/2010
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