| Amazing Life Care, Llc | |
|
159 Evanston St Houston TX 77015-1613 | |
| (903) 917-1115 | |
| Not Available |
| Full Name | Amazing Life Care, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 159 Evanston St, Houston, Texas |
| Authorized Official Name and Position | Tristan Joseph Hogan (PROGRAM MANAGER/PART-OWNER) |
| Authorized Official Contact | 9039171115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amazing Life Care, Llc 159 Evanston St Houston TX 77015-1613 Ph: (903) 917-1115 | Amazing Life Care, Llc 159 Evanston St Houston TX 77015-1613 Ph: (903) 917-1115 |
| NPI Number | 1508146242 |
|---|---|
| Provider Enumeration Date | 08/25/2011 |
| Last Update Date | 08/25/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508146242 | NPI | - | NPPES |
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