Healthcare Provider Details

I. General information

NPI: 1790039915
Provider Name (Legal Business Name): EAM HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2012
Last Update Date: 11/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8710 STOWE CREEK LN
MISSOURI CITY TX
77459-6176
US

IV. Provider business mailing address

8710 STOWE CREEK LN
MISSOURI CITY TX
77459-6176
US

V. Phone/Fax

Practice location:
  • Phone: 307-333-3481
  • Fax:
Mailing address:
  • Phone: 307-333-3481
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: EMMANUEL U MBAKA
Title or Position: ADMINISTRATOR
Credential:
Phone: 307-333-3481