Healthcare Provider Details

I. General information

NPI: 1841852191
Provider Name (Legal Business Name): JFK GLOBAL PRAYER MINISTRY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2019
Last Update Date: 10/07/2021
Certification Date: 10/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9494 SOUTHWEST FWY STE 450R
HOUSTON TX
77074-1423
US

IV. Provider business mailing address

9494 SOUTHWEST FWY STE 450R
HOUSTON TX
77074-1423
US

V. Phone/Fax

Practice location:
  • Phone: 832-475-4559
  • Fax:
Mailing address:
  • Phone: 832-475-4559
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. AIJAZ ALI KHOWAJA
Title or Position: PRESIDENT
Credential:
Phone: 832-475-4559