Individual
MRS. GLORIA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
13818 DENTWOOD DR, HOUSTON, TX 77014-2665
(832) 716-4441
Mailing address
13818 DENTWOOD DR, HOUSTON, TX 77014-2665
(832) 716-4441
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
174200000X
Meals Provider
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QP0905X
State or Local Public Health Clinic/Center
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
08/19/2020
Last updated
09/25/2020
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