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NPI Code Detail

MEDICARE: A.S.U.I HEALTHCARE AND DEVELOPMENT CENTER

MEDICARE: A.S.U.I HEALTHCARE AND DEVELOPMENT CENTER
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
1385HR2060XChild Intellectual and/or Developmental Disabilities Respite CareTX

General Provider Information

NPI Number : 1871795930
Entity Type Code : Organization
Provider Name (Legal Business Name) : A.S.U.I HEALTHCARE AND DEVELOPMENT CENTER
Provider Business Mailing Address
First Line : 1140 WESTMONT DR STE 415
Second Line :
City : HOUSTON
State : TX
Zip : 77015-4368
Country : US
Telephone Number : 713-330-0296
Fax Number : 713-330-4114
Provider Business Practice Location Address
First Line : 1140 WESTMONT DR STE 415
Second Line :
City : HOUSTON
State : TX
Zip : 77015-4368
Country : US
Telephone Number : 713-330-0296
Fax Number : 713-330-4114
Authorized Official
Title or Position : PROGRAM MANAGER
Name : DIANN SIMIEN
Credential : BACHELOR'S DEGREE
Telephone Number : 713-330-0296
Provider Enumeration Date : 06/01/2007
Last Update Date : 04/03/2008

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