Healthcare Provider Details

I. General information

NPI: 1669676334
Provider Name (Legal Business Name): EXTREMELY PRECIOUS MOMENTS' INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/14/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6717 STUEBNER AIRLINE RD SUITE 213
HOUSTON TX
77091-2531
US

IV. Provider business mailing address

6717 STUEBNER AIRLINE RD SUITE 213
HOUSTON TX
77091-2531
US

V. Phone/Fax

Practice location:
  • Phone: 713-692-6061
  • Fax: 713-692-6850
Mailing address:
  • Phone: 713-692-6061
  • Fax: 713-692-6850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. CYNTHIA TOMPKINS
Title or Position: DIRECTOR
Credential:
Phone: 713-692-6061