Organization
INTEGRITY MEDICAL SUPPLY ETC
Active
Other names
INNER DOOR COUNSELING & REHABILITATION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ASSUMPTA SUNDAY ETUKUDO LPC-I (CEO)
(713) 278-8870
Entity
Organization
Contact information
Practice address
6300 HILLCROFT ST, 200, HOUSTON, TX 77081-3006
(713) 278-8870
(713) 278-9711
Mailing address
PO BOX 741226, HOUSTON, TX 77274-1226
(832) 563-5889
(281) 575-0153
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
3504-3505
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175737901
—
TX
Enumeration date
01/29/2007
Last updated
06/11/2012
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