Organization
CARE BY YOUR SIDE DELIVERY SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARQUITA DEVAL JONES (OWNER)
(832) 546-5424
Entity
Organization
Contact information
Practice address
10555 TURTLEWOOD CT, 1112, HOUSTON, TX 77072-2700
(832) 564-5424
Mailing address
10555 TURTLEWOOD CT, 1112, HOUSTON, TX 77072-2700
(832) 564-5424
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8635681
CNA
TX
Enumeration date
02/10/2015
Last updated
02/10/2015
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