Individual
WUALU ALTAMIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
2800 S MACGREGOR WAY, HOUSTON, TX 77021-1032
(713) 741-5000
Mailing address
1615 HERMANN DR UNIT 1136, HOUSTON, TX 77004-7168
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/14/2025
Last updated
11/14/2025
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