1841699063 NPI number — AMER-ASIAN HEALTH CARE PROFESSIONALS

Table of content: (NPI 1841699063)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841699063 NPI number — AMER-ASIAN HEALTH CARE PROFESSIONALS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AMER-ASIAN HEALTH CARE PROFESSIONALS
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:
1841699063
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/14/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
21415 N TANGLE CREEK LN
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SPRING
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77388-4044
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
281-965-0144
Provider Business Mailing Address Fax Number:
281-385-9749

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
24624 INTERSTATE 45 NORTH SUITE 200
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WOODLANDS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77379
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-719-1467
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/14/2014

Additional Information

Authorized Official

Authorized Official Last Name:
MEDINA
Authorized Official First Name:
VIRTUDES
Authorized Official Middle Name:
MONTILLANO
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
281-965-0144

Provider Taxonomy Codes

  • Taxonomy code: 291U00000X , with the licence number:  19663952042 , 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)





Copyright © 2007-2025 www.npivalidator.com