Provider First Line Business Practice Location Address:
GLORIA DEI LUTHERAN CHURCH
Provider Second Line Business Practice Location Address:
18220 UPPER BAY ROAD
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77058
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-489-4436
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/12/2023