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Organization

GOOD SHEPERD HEALTHCARE LLC

Active
Other names
none
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID A OLOWONIRA RRT (PRESIDENT)
(713) 773-3003
Entity
Organization

Contact information

Practice address
13014 SKYMEADOW DR, HOUSTON, TX 77082-3529
(713) 773-3003
Mailing address
13014 SKYMEADOW DR, HOUSTON, TX 77082-3529
(713) 773-3003

Taxonomy

Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
32090000X
TX

Other

Enumeration date
04/08/2010
Last updated
04/08/2010
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  • EDI platform