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Organization

LAKEWOOD TRANSPORT SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. AVERIL BROUSSARD (DIRECTOR)
(832) 704-4050
Entity
Organization

Contact information

Practice address
3525 S SAM HOUSTON PKWY E, 723, HOUSTON, TX 77047-6803
(832) 704-4050
(713) 668-2273
Mailing address
3525 S SAM HOUSTON PKWY E, 723, HOUSTON, TX 77047-6803
(832) 704-4050
(713) 668-2273

Taxonomy

Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary

Other

Enumeration date
02/04/2009
Last updated
02/04/2009
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