Healthcare Provider Details
I. General information
NPI: 1306014683
Provider Name (Legal Business Name): ANTHONY OBINZU AND FRANCIS OBINZU
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/20/2008
Last Update Date: 06/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7915 BURNING OAK LN
RICHMOND TX
77469-3370
US
IV. Provider business mailing address
7915 BURNING OAK LN
RICHMOND TX
77469-3370
US
V. Phone/Fax
- Phone: 832-875-8800
- Fax: 281-265-1335
- Phone: 832-875-8800
- Fax: 281-265-1335
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | DONT HAVE ONE YET |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 315D00000X |
| Taxonomy | Inpatient Hospice |
| License Number | DO NOT HAVE YET |
| License Number State | TX |
VIII. Authorized Official
Name: MR.
ANTHONY
O
OBINZU
Title or Position: ADMINISTRATOER
Credential:
Phone: 832-875-8800