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5597 Gardenia Ln Katy TX 77493-1439 | |
| (832) 753-1314 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 5597 Gardenia Ln, Katy, Texas |
| Authorized Official Name and Position | Tim Salau (PRINCIPLE & DR) |
| Authorized Official Contact | 8327531314 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1735 Vanderwilt Ln Katy TX 77449-1761 Ph: (832) 753-1314 | 5597 Gardenia Ln Katy TX 77493-1439 Ph: (832) 753-1314 |
| NPI Number | 1275238842 |
|---|---|
| Provider Enumeration Date | 04/03/2023 |
| Last Update Date | 12/26/2023 |
| Certification Date | 12/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275238842 | NPI | - | NPPES |
| 80328 | Other | TX | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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