MEDICARE: MY FOCUS ON LIFE 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
1	305S00000X	Point of Service

General Provider Information

NPI Number	:	1902257843
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MY FOCUS ON LIFE INC

Provider Business Mailing Address
First Line	:	1414 BERRYTREE DR
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-6063
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8323 SOUTHWEST FWY STE 425
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-1618
Country	:	US
Telephone Number	:	831-233-6812
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SETH MARRS
Credential	:
Telephone Number	:	831-233-6812

Provider Enumeration Date	:	06/22/2016
Last Update Date	:	06/22/2016

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Directions to “MY FOCUS ON LIFE INC ” Practice Location

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