Healthcare Provider Details

I. General information

NPI: 1225192446
Provider Name (Legal Business Name): TREASURE HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 11/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9898 BISSONNET ST SUITE 260
HOUSTON TX
77036-8270
US

IV. Provider business mailing address

9898 BISSONNET ST SUITE 260
HOUSTON TX
77036-8270
US

V. Phone/Fax

Practice location:
  • Phone: 713-981-7629
  • Fax: 713-981-0727
Mailing address:
  • Phone: 713-981-7629
  • Fax: 713-981-0727

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number010301
License Number StateTX

VIII. Authorized Official

Name: LINUS NNODI NWANNA
Title or Position: ADMINISTRATOR/DON
Credential: RN
Phone: 713-981-7629