Emerald Blue Health Care Services

NPI #1043204530 in Houston, Texas

Provider Information

NPI Number: 1043204530
Entity Type: Organization
Organization Name: Emerald Blue Health Care Services
Primary Specialty: Contractor
Enumeration Date: Sep 9, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 822 GARDEN TRACE LN
City: Houston
State: Texas
ZIP Code: 77018-6342
Phone: (832) 876-1360

Authorized Official

Name: MRS. MYTOIA MOSS
Title: OWNER/PROGRAM DIRECTOR
Phone: (832) 876-1360

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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