Organization
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Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA DAVIS (OWNER)
(832) 890-0988
Entity
Organization
Contact information
Practice address
5208 S ACRES DR, SUITE B, HOUSTON, TX 77048-1118
(713) 264-0616
Mailing address
5208 S ACRES DR, SUITE B, HOUSTON, TX 77048-1118
(713) 264-0616
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3445
TX
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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