| La Mancion Developmental Wellness Center | |
|
2620 Tanglewilde St Houston TX 77063-3203 | |
| (713) 860-8383 | |
| (713) 860-8384 |
| Full Name | La Mancion Developmental Wellness Center |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 2620 Tanglewilde St, Houston, Texas |
| Authorized Official Name and Position | Zahra Lillie Taat (CEO) |
| Authorized Official Contact | 7138608383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Mancion Developmental Wellness Center 2620 Tanglewilde St Houston TX 77063-3203 Ph: (713) 860-8383 | La Mancion Developmental Wellness Center 2620 Tanglewilde St Houston TX 77063-3203 Ph: (713) 860-8383 |
| NPI Number | 1780992925 |
|---|---|
| Provider Enumeration Date | 09/22/2010 |
| Last Update Date | 10/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780992925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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