1770537961 NPI number — MEGA HEALTH CARE PROVIDERS, INC.

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 1770537961 NPI number — MEGA HEALTH CARE PROVIDERS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MEGA HEALTH CARE PROVIDERS, INC.
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:
6
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:
1770537961
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/10/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2440 TEXAS PARKWAY
Provider Second Line Business Mailing Address:
SUITE 202
Provider Business Mailing Address City Name:
MISSOURI CITY
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77489
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-969-8886
Provider Business Mailing Address Fax Number:
281-969-8887

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2440 TEXAS PARKWAY
Provider Second Line Business Practice Location Address:
SUITE 202
Provider Business Practice Location Address City Name:
MISSOURI CITY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77489
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-969-8886
Provider Business Practice Location Address Fax Number:
281-969-8887
Provider Enumeration Date:
05/20/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MBACHU
Authorized Official First Name:
EDMUND
Authorized Official Middle Name:
Authorized Official Title or Position:
ALTERNATE ADMINISTRATOR
Authorized Official Telephone Number:
281-969-8886

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  010399 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 010399 . This is a "HCSSA LICENSE" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".




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