Organization
BABY PAVILION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMTIYAZ MOMIN (CEO)
(800) 616-7860
Entity
Organization
Contact information
Practice address
12805 CAPRICORN ST, STAFFORD, TX 77477-3914
(800) 616-7860
(888) 786-5565
Mailing address
12805 CAPRICORN ST, STAFFORD, TX 77477-3914
(800) 616-7860
(888) 786-5565
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
05/14/2018
Last updated
05/14/2018
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