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Organization

IMPERIAL MANAGED CARE HCS INC

Active
Other names
NA
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SONYA LASHAY HOLMES (EXECUTIVE DIRECTOR)
(832) 537-9063
Entity
Organization

Contact information

Practice address
10815 SAGECANYON DR, HOUSTON, TX 77089-3723
(832) 537-9063
Mailing address
10815 SAGECANYON DR, HOUSTON, TX 77089-3723
(832) 537-9063

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
HCS
TX
05
TXHML
TX
Enumeration date
03/26/2015
Last updated
03/26/2015
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