Healthcare Provider Details

I. General information

NPI: 1568841237
Provider Name (Legal Business Name): VENUS MEDICAL TRANSPORT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2015
Last Update Date: 05/27/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13210 OLD RICHMOND RD # 30
HOUSTON TX
77083
US

IV. Provider business mailing address

13210 OLD RICHMOND RD # 30
HOUSTON TX
77083
US

V. Phone/Fax

Practice location:
  • Phone: 281-656-8426
  • Fax:
Mailing address:
  • Phone: 281-656-8426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateTX

VIII. Authorized Official

Name: MR. EKENEDILICHUKWU OKORO
Title or Position: OWNER1
Credential: ENGR
Phone: 281-656-8426