Organization
ASP PROVIDERS GROUP OF CALIFORNIA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID RICHARDSON (C.F.O)
(832) 804-8704
Entity
Organization
Contact information
Practice address
1350 BARLAS LN, PETALUMA, CA 94952-1280
(707) 778-1551
Mailing address
7324 SOUTHWEST FWY STE 1550, HOUSTON, TX 77074-2053
(713) 988-8400
(713) 988-8402
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/23/2017
Last updated
08/23/2017
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