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Organization

WILMAR HEALTHCARE SYSTEMS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM OWUAMA (ADMINISTRATOR)
(713) 988-2956
Entity
Organization

Contact information

Practice address
10103 FONDREN RD STE 475, 475, HOUSTON, TX 77096-4671
(713) 988-2956
(713) 988-4855
Mailing address
10103 FONDREN RD STE 475, 475, HOUSTON, TX 77096-4671
(713) 988-2956
(713) 988-4855

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
23456
TX
207QG0300X
Geriatric Medicine (Family Medicine) Physician
G9623
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
147163302
TX
05
147163303
TX
Enumeration date
10/10/2006
Last updated
09/23/2008
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