1518302082 NPI number — ONE COURAGEOUS HEALTHCARE SERVICES, INC.

Table of content: MS. LINDA PERKINS R.PH. (NPI 1093757049)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518302082 NPI number — ONE COURAGEOUS HEALTHCARE SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ONE COURAGEOUS HEALTHCARE SERVICES, 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:
1518302082
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/04/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6666 HARWIN DR.
Provider Second Line Business Mailing Address:
SUITE 345
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77036
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
832-649-2951
Provider Business Mailing Address Fax Number:
832-649-2978

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6666 HARWIN DR.
Provider Second Line Business Practice Location Address:
SUITE 345
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77036
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-649-2951
Provider Business Practice Location Address Fax Number:
832-649-2978
Provider Enumeration Date:
05/09/2013

Additional Information

Authorized Official

Authorized Official Last Name:
UKAWILU
Authorized Official First Name:
SERGE
Authorized Official Middle Name:
E.C.
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
832-649-2951

Provider Taxonomy Codes

  • Taxonomy code: 315D00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 315D00000X , with the licence number: 015769 , 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)





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