Healthcare Provider Details

I. General information

NPI: 1750533691
Provider Name (Legal Business Name): COSMEC HEALTH CARE RESOURCE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/22/2008
Last Update Date: 03/25/2024
Certification Date: 03/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8202 ASH GARDEN CT
HOUSTON TX
77083-6518
US

IV. Provider business mailing address

8202 ASH GARDEN CT
HOUSTON TX
77083-6518
US

V. Phone/Fax

Practice location:
  • Phone: 832-594-0983
  • Fax: 281-242-2265
Mailing address:
  • Phone: 832-594-0983
  • Fax: 281-242-2265

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. MONICA CHIOMA IGWE
Title or Position: CEO
Credential: NURSE PRACTITIONER
Phone: 832-594-0983