Individual
JEFF LANQUEDOC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1002 STEEL BLUE DR, HOUSTON, TX 77073-1062
(346) 590-4046
Mailing address
1002 STEEL BLUE DR, HOUSTON, TX 77073-1062
(346) 590-4046
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
1416330020012
TX
Other
Enumeration date
04/28/2025
Last updated
04/28/2025
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