Organization
OASIS MIND AND BODY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIAMOND GALLOW (OPERATION ASSISTANT)
(281) 612-9565
Entity
Organization
Contact information
Practice address
3301 PLAINVIEW, 1, PASADENA, TX 77504
(281) 972-8870
(346) 802-2152
Mailing address
3301 PLAINVIEW, 1, PASADENA, TX 77504
(281) 972-8870
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
530639
TX
Other
Enumeration date
10/30/2017
Last updated
07/02/2018
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