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Organization

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Organization subpart
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Provider details

NPI number
Authorized official
RICHARD MYLES (OWNER)
(346) 907-9540
Entity
Organization

Contact information

Practice address
5519 RICKY ST, HOUSTON, TX 77033-3313
(346) 907-9540
Mailing address
5519 RICKY ST, HOUSTON, TX 77033-3313
(346) 907-9540

Taxonomy

Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary

Other

Enumeration date
10/18/2022
Last updated
10/18/2022
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