Healthcare Provider Details
I. General information
NPI: 1326109943
Provider Name (Legal Business Name): DELIGHT HEALTHCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/13/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6565 DE MOSS DR STE 210
HOUSTON TX
77074-5016
US
IV. Provider business mailing address
6565 DE MOSS DR STE 210
HOUSTON TX
77074-5016
US
V. Phone/Fax
- Phone: 713-776-2551
- Fax: 713-776-2553
- Phone: 713-776-2551
- Fax: 713-776-2553
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QH0100X |
| Taxonomy | Health Service Clinic/Center |
| License Number | 9911 |
| License Number State | TX |
VIII. Authorized Official
Name: DR.
OKEZIE
ONYEBUENYI
UKEGBU
Title or Position: CHIROPRACTOR
Credential: D.C.
Phone: 713-776-2551