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General NPI Number Information
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NPI Number | 1699070672
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Entity Type | Organization
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Legal Business Name | LYMPHEDEMA INSTITUTE, INC.
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Dates
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Enumeration Date | 01/21/2011
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Last Update Date | 07/09/2018
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Provider Practice Location Address
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Address Line | 550 WESTCOTT ST 470
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City | HOUSTON
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State | TX
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Zip | 77007
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Country | US
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Telephone | 713-526-7926
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Fax | 713-864-7928
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Provider Business Mailing Address
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Address Line | PO BOX 84230
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City | PEARLAND
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State | TX
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Zip | 77584-0015
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOEY ADOLF
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Credential | DC
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Telephone | 713-526-7926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 102359
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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