Organization
IMANI HEALTH ASSOCIATES
Active
Organization
IMANI HEALTH ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONNETT OUTLAND (DIRECTOR)
(832) 725-1268
Entity
Organization
Contact information
Practice address
6118 IRISH HILL DR, HOUSTON, TX 77053-3428
(832) 887-8992
(713) 669-1091
Mailing address
6118 IRISH HILL DR, HOUSTON, TX 77053-3428
(832) 887-8992
(713) 669-1091
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
J2165
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080458501
—
TX
Enumeration date
08/14/2007
Last updated
09/01/2009
Update your record
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