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Organization

MINTY BEA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JANAYE R WHITE (OWNER)
(713) 348-9998
Entity
Organization

Contact information

Practice address
11070 KATY FWY APT 1271, HOUSTON, TX 77043-4765
(713) 348-9998
Mailing address
11070 KATY FWY APT 1271, HOUSTON, TX 77043-4765
(713) 348-9998

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
224P00000X
Prosthetist
Primary
332B00000X
Durable Medical Equipment & Medical Supplies
332BC3200X
Customized Equipment (DME)

Other

Enumeration date
09/01/2020
Last updated
09/01/2020
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