Organization
KIDZ PLUS MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LONZEL PICKRON (ADMINISTRATOR)
(832) 717-2780
Entity
Organization
Contact information
Practice address
5610 BELCREST ST, HOUSTON, TX 77033-3040
(832) 517-5901
(832) 717-2781
Mailing address
PO BOX 9755, HOUSTON, TX 77213-0755
(832) 717-2780
(832) 717-2781
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253J00000X
Foster Care Agency
—
—
372600000X
Adult Companion
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
379399401
—
TX
Enumeration date
07/16/2020
Last updated
07/17/2023
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