Healthcare Provider Details

I. General information

NPI: 1821867128
Provider Name (Legal Business Name): CAWAN GERIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2023
Last Update Date: 12/28/2023
Certification Date: 12/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7435 GARLAND MIST LN
RICHMOND TX
77407-4106
US

IV. Provider business mailing address

7435 GARLAND MIST LN
RICHMOND TX
77407-4106
US

V. Phone/Fax

Practice location:
  • Phone: 713-885-4836
  • Fax:
Mailing address:
  • Phone: 713-885-4836
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CAROLINE NJUGUNA
Title or Position: PRESIDENT
Credential: FNP-C
Phone: 713-885-4836