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Organization

GENBEY CONSULTING, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GWENDOLYN ELIZABETH BROBBEY M.D (REGISTERED AGENT AND ORGANIZER)
(281) 969-8860
Entity
Organization

Contact information

Practice address
1915 LAKEFRONT DR, MISSOURI CITY, TX 77459-1651
(281) 969-8860
Mailing address
1915 LAKEFRONT DR, MISSOURI CITY, TX 77459-1651
(281) 969-8860

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
G0899
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
121542805
TX
01
801833744
INDIVIDUAL NATIONAL PROVIDER IDENTIFIER (NPI)
Enumeration date
11/15/2016
Last updated
11/15/2016
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