Organization
TEXAS CENTER OF WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENDALL JAMES BROUSSARD (DIRECTOR)
(337) 344-0186
Entity
Organization
Contact information
Practice address
1441 WOOD HOLLOW DR APT 27304, HOUSTON, TX 77057-1646
(337) 344-0186
Mailing address
1441 WOOD HOLLOW DR APT 27304, HOUSTON, TX 77057-1646
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/12/2014
Last updated
03/12/2014
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