| Mo Bethel, Llc | |
|
5214 Rollingstone Rd Richmond TX 77407-4133 | |
| (713) 459-7861 | |
| (281) 857-6658 |
| Full Name | Mo Bethel, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5214 Rollingstone Rd, Richmond, Texas |
| Authorized Official Name and Position | Oritsemoyogbemi Nagocson Edema (MANAGING MEMBER) |
| Authorized Official Contact | 7134597861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mo Bethel, Llc 5214 Rollingstone Rd Richmond TX 77407-4133 Ph: (713) 459-7861 | Mo Bethel, Llc 5214 Rollingstone Rd Richmond TX 77407-4133 Ph: (713) 459-7861 |
| NPI Number | 1376775916 |
|---|---|
| Provider Enumeration Date | 08/16/2009 |
| Last Update Date | 08/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376775916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Texas) | Primary |
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