MEDICARE: DRUWEL LLC DBA ACT DNA DRUG AND ALCOHOL TESTING

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251F00000X	Home Infusion Agency
2	253Z00000X	In Home Supportive Care Agency
3	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1689047797
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRUWEL LLC DBA ACT DNA DRUG AND ALCOHOL TESTING

Provider Business Mailing Address
First Line	:	5330 GRIGGS RD
Second Line	:	SUITE G-103
City	:	HOUSTON
State	:	TX
Zip	:	77021-3700
Country	:	US
Telephone Number	:	713-522-3930
Fax Number	:	713-513-5952

Provider Business Practice Location Address
First Line	:	5330 GRIGGS RD
Second Line	:	SUITE G-103
City	:	HOUSTON
State	:	TX
Zip	:	77021-3700
Country	:	US
Telephone Number	:	713-522-3930
Fax Number	:	713-513-5952

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	KALA R HOUSTON
Credential	:
Telephone Number	:	832-338-3231

Provider Enumeration Date	:	11/11/2015
Last Update Date	:	11/12/2015

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