Healthcare Provider Details

I. General information

NPI: 1104051069
Provider Name (Legal Business Name): TOEJB RESOURCES UNLIMITED INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2009
Last Update Date: 10/15/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2626 S LOOP W SUITE 426
HOUSTON TX
77054-2654
US

IV. Provider business mailing address

2626 S LOOP W SUITE 426
HOUSTON TX
77054-2654
US

V. Phone/Fax

Practice location:
  • Phone: 832-893-5285
  • Fax: 713-669-1091
Mailing address:
  • Phone: 832-893-5285
  • Fax: 713-669-1091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number10039
License Number StateTX

VIII. Authorized Official

Name: TONETTE BONITA OUTLAND
Title or Position: OWNER
Credential:
Phone: 832-893-5285