Organization
LYMPHEDEMA INSTITUTE, INC.
Active
Other names
Lymphedema Treatment Centers of America
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEY ADOLF DC (PRESIDENT)
(713) 526-7926
Entity
Organization
Contact information
Practice address
550 WESTCOTT ST, 470, HOUSTON, TX 77007
(713) 526-7926
(713) 864-7928
Mailing address
PO BOX 84230, PEARLAND, TX 77584-0015
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
102359
TX
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00S5S8
BCBS
TX
01
—
145602203
DR SHARE - MEDICAID
TX
Enumeration date
01/21/2011
Last updated
07/09/2018
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