Healthcare Provider Details
I. General information
NPI: 1952650756
Provider Name (Legal Business Name): HUMANE IN MOTION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/07/2012
Last Update Date: 09/07/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9780 BISSONNET ST
HOUSTON TX
77036-8060
US
IV. Provider business mailing address
311 GREGG ST
HOUSTON TX
77020-6135
US
V. Phone/Fax
- Phone: 281-995-2196
- Fax:
- Phone: 281-995-2196
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 364SA2200X |
| Taxonomy | Adult Health Clinical Nurse Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
JOSEPH
K'TRON
CARTER
Title or Position: OWNER
Credential:
Phone: 281-995-2196