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Individual

SAMUEL LATREZ MCGROUGH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
21522 HICKMAN MANOR LN, KATY, TX 77449
(281) 856-2055
(281) 856-2055
Mailing address
21522 HICKMAN MANOR LN, KATY, TX 77449-7568
(281) 856-2055
(281) 856-2055

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary

Other

Enumeration date
06/24/2008
Last updated
06/24/2008
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