Organization
SUPER BROTHER LLC
Active
Other names
TJ Foot Spa
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LIN YUAN (MANAGER)
(832) 360-5039
Entity
Organization
Contact information
Practice address
5402 BROADWAY ST STE 122, PEARLAND, TX 77581-3749
(832) 672-4776
Mailing address
5402 BROADWAY ST STE 122, PEARLAND, TX 77581-3749
(832) 672-4776
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
—
—
225100000X
Physical Therapist
—
—
225700000X
Massage Therapist
Primary
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
Other
Enumeration date
10/21/2022
Last updated
10/24/2022
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