1023848314 NPI number — FLAGSTAR HEALTHCARE SERVICES

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023848314 NPI number — FLAGSTAR HEALTHCARE SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
FLAGSTAR HEALTHCARE SERVICES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023848314
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/02/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
9888 BISSONNET ST STE 450D
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77036-8247
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-777-3434
Provider Business Mailing Address Fax Number:
713-777-3593

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
9888 BISSONNET ST STE 450D
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77036-8247
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-777-3434
Provider Business Practice Location Address Fax Number:
713-777-3593
Provider Enumeration Date:
08/02/2024

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ADIUKU
Authorized Official First Name:
VICTOR
Authorized Official Middle Name:
OKEY
Authorized Official Title or Position:
ADMINISTRATOR / OWNER
Authorized Official Telephone Number:
713-777-3434

Provider Taxonomy Codes

  • Taxonomy code: 3747P1801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)