Healthcare Provider Details

I. General information

NPI: 1154667566
Provider Name (Legal Business Name): ASTER HEALTHCARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2012
Last Update Date: 12/13/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6011 TELEPHONE RD
HOUSTON TX
77087-5403
US

IV. Provider business mailing address

6011 TELEPHONE RD
HOUSTON TX
77087-5403
US

V. Phone/Fax

Practice location:
  • Phone: 713-280-9837
  • Fax: 713-645-5588
Mailing address:
  • Phone: 713-280-9837
  • Fax: 713-645-5588

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: EUCHARIA CHIEGE IWUANYANWU
Title or Position: PROGRAM MANAGER
Credential: DHSC, PA-C
Phone: 832-818-2602