Organization
KBBR INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL RAY NWABOH NURSE PRACTITIONER (CEO/OWNER)
(281) 531-0661
Entity
Organization
Contact information
Practice address
14526 OLD KATY RD, SUITE 220, HOUSTON, TX 77079-1021
(281) 531-0661
(281) 531-0665
Mailing address
14526 OLD KATY RD, SUITE 220, HOUSTON, TX 77079-1021
(281) 531-0661
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
696808
TX
Other
Enumeration date
06/11/2012
Last updated
01/11/2014
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