Organization
KBBR INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRYSTAL RAY NWABOH FNP-C (CEO/OWNER)
(832) 660-1256
Entity
Organization
Contact information
Practice address
14526 OLD KATY RD, SUITE 220, HOUSTON, TX 77079-1021
(832) 660-1256
Mailing address
14526 OLD KATY RD, SUITE 220, HOUSTON, TX 77079-1021
(832) 660-1256
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
696808
TX
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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