Individual
GREGORY D SHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14511 JESSICA FALLS CIR, HOUSTON, TX 77044-4969
(281) 900-4147
Mailing address
14511 JESSICA FALLS CIR, HOUSTON, TX 77044-4969
(281) 900-4147
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
01/14/2021
Last updated
01/14/2021
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