Healthcare Provider Details

I. General information

NPI: 1871795930
Provider Name (Legal Business Name): A.S.U.I HEALTHCARE AND DEVELOPMENT CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2007
Last Update Date: 04/03/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1140 WESTMONT DR STE 415
HOUSTON TX
77015-4368
US

IV. Provider business mailing address

1140 WESTMONT DR STE 415
HOUSTON TX
77015-4368
US

V. Phone/Fax

Practice location:
  • Phone: 713-330-0296
  • Fax: 713-330-4114
Mailing address:
  • Phone: 713-330-0296
  • Fax: 713-330-4114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number StateTX

VIII. Authorized Official

Name: DIANN SIMIEN
Title or Position: PROGRAM MANAGER
Credential: BACHELOR'S DEGREE
Phone: 713-330-0296