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General NPI Number Information
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NPI Number | 1558640664
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Entity Type | Organization
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Legal Business Name | ASTER HEALTHCARE SERVICES INC
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Dates
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Enumeration Date | 08/06/2011
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Last Update Date | 09/30/2013
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Provider Practice Location Address
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Address Line | 9725 HOMESTEAD RD
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City | HOUSTON
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State | TX
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Zip | 77016-4403
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Country | US
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Telephone | 713-995-8000
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Fax | 713-644-5000
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Provider Business Mailing Address
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Address Line | 9725 HOMESTEAD RD
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City | HOUSTON
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State | TX
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Zip | 77016-4403
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Country | US
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Telephone | 713-995-8000
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Fax | 713-644-5000
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. EUCHARIA CHIEGE IWUANYANWU
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Credential | PA-C
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Telephone | 832-818-2602
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | PA01680
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number | PA01680
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA01680
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | PA01680
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License Number State | TX
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