| Minola's Place Of Texas , Inc | |
|
17940 Country Walk Dr Spring TX 77379-6169 | |
| (281) 251-7696 | |
| Not Available |
| Full Name | Minola's Place Of Texas , Inc |
|---|---|
| Speciality | Social Worker |
| Location | 17940 Country Walk Dr, Spring, Texas |
| Authorized Official Name and Position | Rozella Gray (DIRECTOR) |
| Authorized Official Contact | 2812517696 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Minola's Place Of Texas , Inc 17940 Country Walk Spring TX 77379 Ph: (281) 251-7696 | Minola's Place Of Texas , Inc 17940 Country Walk Dr Spring TX 77379-6169 Ph: (281) 251-7696 |
| NPI Number | 1770812554 |
|---|---|
| Provider Enumeration Date | 12/08/2009 |
| Last Update Date | 12/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770812554 | NPI | - | NPPES |
| 1275711947 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | 50907 (Texas) | Primary |
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