Organization
1ST GOODSPEED SUPPLY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MERLE EDWARDS (PRESIDENT)
(562) 334-5473
Entity
Organization
Contact information
Practice address
4709 ENNIS ST, HOUSTON, TX 77004-6131
(210) 286-0929
Mailing address
4709 ENNIS ST, HOUSTON, TX 77004-6131
(210) 286-0929
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Enumeration date
04/02/2014
Last updated
02/10/2015
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