Organization
REALITY RESUSCITATION LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. IVY CARR RCP (PROVIDER)
(832) 215-8356
Entity
Organization
Contact information
Practice address
7223 SANDSWEPT LN, HOUSTON, TX 77086-1847
(832) 215-8356
Mailing address
7223 SANDSWEPT LN, HOUSTON, TX 77086-1847
(832) 215-8356
Taxonomy
Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
Primary
—
—
251K00000X
Public Health or Welfare Agency
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326790106
NPI
—
01
—
1346997756
NPI
—
Enumeration date
03/04/2022
Last updated
03/15/2022
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