Medlock, Georgetta Marie
Medlock, Georgetta Marie is an sole proprietor health care provider with primary practice located at 5619 Maverick Bend Ln , Missouri City TX 77459-5096. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Medlock, Georgetta Marie can be contacted via phone (713) 876-2267.Contact Information
Primary practice address
5619 Maverick Bend Ln
Missouri City TX 77459-5096
Phone: (713) 876-2267
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 61268 | Texas |
Profile Details
| NPI number | 1417111535 |
|---|---|
| LBN Legal business name | Medlock, Georgetta Marie |
| Credentials | LPC, NCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2008 |
| Last updated | Jan 8th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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