Healthcare Provider Details

I. General information

NPI: 1568772606
Provider Name (Legal Business Name): MAC & WRIGHT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2010
Last Update Date: 10/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5822 PINE ARBOR DR
HOUSTON TX
77066-2347
US

IV. Provider business mailing address

5822 PINE ARBOR DR
HOUSTON TX
77066-2347
US

V. Phone/Fax

Practice location:
  • Phone: 713-560-8406
  • Fax:
Mailing address:
  • Phone: 713-560-8406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number4703076324
License Number StateMI

VIII. Authorized Official

Name: DEBORAH MACDONALD
Title or Position: OWNER
Credential:
Phone: 713-560-8406