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5143 Royal Jasmine Pl Katy TX 77449-2135 | |
| (832) 762-5875 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Case Management |
| Location | 5143 Royal Jasmine Pl, Katy, Texas |
| Authorized Official Name and Position | Dekunle Lawal (MANAGER) |
| Authorized Official Contact | 8327625875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5143 Royal Jasmine Pl Katy TX 77449-2135 Ph: (832) 762-5875 | 5143 Royal Jasmine Pl Katy TX 77449-2135 Ph: (832) 762-5875 |
| NPI Number | 1730761644 |
|---|---|
| Provider Enumeration Date | 04/21/2021 |
| Last Update Date | 10/05/2022 |
| Certification Date | 10/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730761644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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