Healthcare Provider Details

I. General information

NPI: 1306730593
Provider Name (Legal Business Name): PLOUTOS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2025
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 FM 1960 RD W STE 450
HOUSTON TX
77090-3416
US

IV. Provider business mailing address

830 FM 1960 RD W STE 450
HOUSTON TX
77090-3416
US

V. Phone/Fax

Practice location:
  • Phone: 173-489-9884
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MARCELINO ESTRADA
Title or Position: ADMIN
Credential:
Phone: 713-489-9884