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Dr. Marvin Baltimore Jr., PharmD

Custodial Care Facility, Adult Care Home in Houston, TX. Individual provider (NPI-1).

NPI number1144068024
StatusActive
Last updated in NPPESJul 16, 2024

Details

NPI
1144068024
Entity type
Individual (NPI-1)
Name
Dr. Marvin Baltimore Jr.
Credential
PharmD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 16, 2024
Certification date
Jul 16, 2024
Last updated
Jul 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
311ZA0620X Custodial Care Facility, Adult Care Home––Yes

Practice location

2817 Southmore Blvd
Houston, TX 77004-7707

Phone 832-850-3254

Mailing address

10015 Hubble Dr
Iowa Colony, TX 77583-3372

Phone 832-850-3254

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