1063170702 NPI number — ENABLED CARE PSYCHIATRY PLLC

Table of content: (NPI 1063170702)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1063170702 NPI number — ENABLED CARE PSYCHIATRY PLLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ENABLED CARE PSYCHIATRY PLLC
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:
ENABLED CARE PSYCHIATRY PLLC
Provider Other Organization Name Type Code:
4
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:
1063170702
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
10/23/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1500 S DAIRY ASHFORD RD STE 102
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:
77077-3854
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
832-856-2151
Provider Business Mailing Address Fax Number:
737-263-1821

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
11242 FARM TO MARKET 1960 RD W #107,
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:
77065-3635
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-856-2151
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/30/2021

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
AMAYAKA
Authorized Official First Name:
ALOZIE
Authorized Official Middle Name:
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
832-856-2151

Provider Taxonomy Codes

  • Taxonomy code: 363LP0808X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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