MEDICARE: AXIOM HEALTHCARE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1750032132
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AXIOM HEALTHCARE SERVICES

Provider Business Mailing Address
First Line	:	PO BOX 2154
Second Line	:
City	:	STAFFORD
State	:	TX
Zip	:	77497-2154
Country	:	US
Telephone Number	:	832-775-6966
Fax Number	:

Provider Business Practice Location Address
First Line	:	11978 WESTHEIMER RD STE A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77077-6669
Country	:	US
Telephone Number	:	713-884-0867
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ONYEMA ONYEAGU
Credential	:
Telephone Number	:	832-707-8599

Provider Enumeration Date	:	01/17/2022
Last Update Date	:	01/17/2022

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Directions to “AXIOM HEALTHCARE SERVICES ” Practice Location

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