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Organization

MINOLA'S PLACE OF TEXAS , INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ROZELLA GRAY (DIRECTOR)
(281) 251-7696
Entity
Organization

Contact information

Practice address
17940 COUNTRY WALK DR, SPRING, TX 77379-6169
(281) 251-7696
Mailing address
17940 COUNTRY WALK, SPRING, TX 77379
(281) 251-7696

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
50907
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1275711947
TX
Enumeration date
12/08/2009
Last updated
12/08/2009
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