MEDICARE: E&E HEALTH ENTERPRISES, 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	3336C0003X	Community/Retail Pharmacy

General Provider Information

NPI Number	:	1619348729
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	E&E HEALTH ENTERPRISES, INC

Provider Business Mailing Address
First Line	:	5740 W LITTLE YORK RD
Second Line	:	SUITE A
City	:	HOUSTON
State	:	TX
Zip	:	77091-1112
Country	:	US
Telephone Number	:	281-447-7648
Fax Number	:	832-327-0935

Provider Business Practice Location Address
First Line	:	5740 W LITTLE YORK RD
Second Line	:	SUITE A
City	:	HOUSTON
State	:	TX
Zip	:	77091-1112
Country	:	US
Telephone Number	:	281-447-7648
Fax Number	:	832-327-0935

Authorized Official
Title or Position	:	PRESIDENT
Name	:	RONALD RICHARDSON
Credential	:
Telephone Number	:	281-447-7648

Provider Enumeration Date	:	10/15/2015
Last Update Date	:	10/15/2015

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