Organization
MAXABLE LLC
Active
Other names
SOS-Pearland
Organization subpart
No
Provider details
NPI number
Authorized official
JAEYEON JEFF KIM (GENERAL MANAGER)
(334) 740-4523
Entity
Organization
Contact information
Practice address
5022 BROADWAY ST, PEARLAND, TX 77581-3939
(334) 740-4523
Mailing address
5022 BROADWAY ST, PEARLAND, TX 77581-3939
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
—
—
261QH0700X
Hearing and Speech Clinic/Center
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Enumeration date
05/20/2021
Last updated
01/06/2023
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