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NPI Code Detail

MEDICARE: LONE WOLF CONSULTANTS, INC

MEDICARE: LONE WOLF CONSULTANTS, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251C00000XDevelopmentally Disabled Services Day Training Agency

General Provider Information

NPI Number : 1659654515
Entity Type Code : Organization
Provider Name (Legal Business Name) : LONE WOLF CONSULTANTS, INC
Provider Business Mailing Address
First Line : 1915 AYALA LN
Second Line :
City : RICHMOND
State : TX
Zip : 77469-3621
Country : US
Telephone Number : 713-206-1595
Fax Number : 281-762-2330
Provider Business Practice Location Address
First Line : 1915 AYALA LN
Second Line :
City : RICHMOND
State : TX
Zip : 77469-3621
Country : US
Telephone Number : 713-206-1595
Fax Number : 281-762-2330
Authorized Official
Title or Position : PRESIDENT
Name : MS. EVELYN KAY BYNUM-BRENNAN
Credential :
Telephone Number : 713-206-1595
Provider Enumeration Date : 09/27/2011
Last Update Date : 09/27/2011

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Directions to “LONE WOLF CONSULTANTS, INC ” Practice Location

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