NPI Code Details Logo

NPI 1922936103

NPI 1922936103 : COPERGRINE : HOUSTON, TX

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1922936103
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    COPERGRINE 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/11/2026
-----------------------------------------------------
    Last Update Date     |    05/11/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    13100 WORTHAM CENTER DR FL 3 
-----------------------------------------------------
    City                 |    HOUSTON
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77065-5625
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    832-205-8404
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    13100 WORTHAM CENTER DR FL 3 
-----------------------------------------------------
    City                 |    HOUSTON
-----------------------------------------------------
    State                |    TX
-----------------------------------------------------
    Zip                  |    77065-5625
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    832-205-8404
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    MANAGING MEMBER
-----------------------------------------------------
    Name                 |     CHUKWUEBUKA FRANCIS AGUDOSI 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    202-460-4744
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    343900000X
-----------------------------------------------------
    Taxonomy Name        |    Non-emergency Medical Transport (VAN)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    347E00000X
-----------------------------------------------------
    Taxonomy Name        |    Transportation Broker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    342000000X
-----------------------------------------------------
    Taxonomy Name        |    Transportation Network Company
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.