Organization
INNOVATIVE PRODIGY'S, LLC
Active
Other names
Innovative Prodigy's, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TABITHA BRUMFIELD (CEO)
(504) 429-9621
Entity
Organization
Contact information
Practice address
12440 OXFORD PARK DR STE B101, HOUSTON, TX 77082-2699
(945) 867-0030
Mailing address
12440 OXFORD PARK DR STE B101, HOUSTON, TX 77082-2699
(945) 867-0030
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
11/14/2024
Last updated
11/14/2024
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