| NPI | 1578098406 |
|---|---|
| Doing Business As | MAGNOLIA THERAPEUTIC SERVICES |
| Entity Type | Organization |
| Authorized Contact | SHAKEITHDRA RASHAE LEE RN Case Manager 281-630-2328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2017-10-02 |