A Place Of Grace
Preferred Provider Organization in Houston, TX. Organization (NPI-2).
NPI number1982974895
StatusActive
Last updated in NPPESJan 9, 2012
Details
- NPI
- 1982974895
- Entity type
- Organization (NPI-2)
- Legal business name
- A Place Of Grace
- Organization subpart
- No
- Enumeration date
- Jan 9, 2012
- Last updated
- Jan 9, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 305R00000X | Preferred Provider Organization | – | – | Yes |
Practice location
8614 E Rachlin CirHouston, TX 77071-2816
Phone 713-772-6545
Mailing address
8614 E Rachlin CirHouston, TX 77071-2816
Phone 713-772-6545
Authorized official
Lester L Shepherd
Owner
7137726546
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