My Iom Co, LLC

NPI #1316291354 in Spring, Texas

Provider Information

NPI Number: 1316291354
Entity Type: Organization
Organization Name: My Iom Co, LLC
Primary Specialty: Specialist
Enumeration Date: Oct 29, 2012
Last Updated: Jun 11, 2014

Practice Location

Address: 803 SPRING SOURCE PL
City: Spring
State: Texas
ZIP Code: 77373-7077
Phone: (855) 694-6626

Authorized Official

Name: MRS. CRYSTAL PURDON, LVN, CNIM
Title: PRINCIPAL
Phone: (855) 694-6626

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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