Organization
KDP HEALTH CARE SERVICES
Active
Parent organization
KDP HEALTH CARE SERVIICES
Other names
KDP Health Care Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
KDP HEALTH CARE SERVIICES
Authorized official
MRS. DAISY EVETTE PETERS 01181967 (OWER)
(832) 891-4952
Entity
Organization
Contact information
Practice address
11338 SAGE HILL DR, HOUSTON, TX 77089-4634
(832) 891-4952
Mailing address
11338 SAGEHILL DR, HOUSTON, TX 77089-4634
(832) 891-4952
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
W13557
TX
Other
Enumeration date
07/01/2010
Last updated
07/01/2010
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