=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821374398
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AMEN HUMAN RESOURCE SERVICES, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/28/2011
-----------------------------------------------------
Last Update Date | 10/28/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 12240 MURPHY RD STE P
-----------------------------------------------------
City | STAFFORD
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77477-2411
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-261-8696
-----------------------------------------------------
Fax | 713-589-8778
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2527 VILLAGE SQUARE DR
-----------------------------------------------------
City | MISSOURI CITY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77489-4093
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-261-8696
-----------------------------------------------------
Fax | 713-859-8778
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | OSAS M OKPAMEN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 281-261-8696
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------