Healthcare Provider Details

I. General information

NPI: 1033948716
Provider Name (Legal Business Name): LADIES OF GOD'S WORD MINISTRY,INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2024
Last Update Date: 08/20/2024
Certification Date: 08/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2470 GRAY FALLS DR STE 250
HOUSTON TX
77077-6514
US

IV. Provider business mailing address

2470 GRAY FALLS DR STE 250
HOUSTON TX
77077-6514
US

V. Phone/Fax

Practice location:
  • Phone: 832-889-8929
  • Fax:
Mailing address:
  • Phone: 832-889-8929
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: EFFIE DAVIS WEIR
Title or Position: CASE MANAGEMENT
Credential: RN-BSN
Phone: 832-889-8929