1902152093 NPI number — ETHICS HEALTHCARE, INCORPORATED

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 1902152093 NPI number — ETHICS HEALTHCARE, INCORPORATED

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ETHICS HEALTHCARE, INCORPORATED
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:
1902152093
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/26/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
708. MEYER ST.
Provider Second Line Business Mailing Address:
SUITE B
Provider Business Mailing Address City Name:
SEALY
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77474-2325
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
713-280-9372
Provider Business Mailing Address Fax Number:
866-821-7992

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
708 MEYER ST
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
SEALY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77474-2753
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-280-9372
Provider Business Practice Location Address Fax Number:
866-821-7992
Provider Enumeration Date:
07/26/2012

Additional Information

Authorized Official

Authorized Official Last Name:
DANIA
Authorized Official First Name:
GREG
Authorized Official Middle Name:
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
713-280-9372

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X , 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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