MEDICARE: ASTER HEALTHCARE SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center	PA01680	TX
2	261QR0401X	Comprehensive Outpatient Rehabilitation Facility (CORF)	PA01680	TX
3	363AM0700X	Medical Physician Assistant	PA01680	TX
4	261QP2300X	Primary Care Clinic/Center	PA01680	TX

General Provider Information

NPI Number	:	1558640664
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASTER HEALTHCARE SERVICES INC

Provider Business Mailing Address
First Line	:	9725 HOMESTEAD RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77016-4403
Country	:	US
Telephone Number	:	713-995-8000
Fax Number	:	713-644-5000

Provider Business Practice Location Address
First Line	:	9725 HOMESTEAD RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77016-4403
Country	:	US
Telephone Number	:	713-995-8000
Fax Number	:	713-644-5000

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. EUCHARIA CHIEGE IWUANYANWU
Credential	:	PA-C
Telephone Number	:	832-818-2602

Provider Enumeration Date	:	08/06/2011
Last Update Date	:	09/30/2013

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