Individual
MISHELL VIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4818 E SAM HOUSTON PKWY N, HOUSTON, TX 77015-3240
(713) 773-5110
Mailing address
12371 S KIRKWOOD RD, STAFFORD, TX 77477-2836
(713) 773-5100
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217588
TX
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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