MEDICARE: MR. VINCENT AFAM MONEKE

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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1952507642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. VINCENT AFAM MONEKE

Provider Business Mailing Address
First Line	:	1220 ROBIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77019-4612
Country	:	US
Telephone Number	:	832-207-3440
Fax Number	:

Provider Business Practice Location Address
First Line	:	1220 ROBIN ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77019-4612
Country	:	US
Telephone Number	:	832-207-3440
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2007
Last Update Date	:	07/08/2007

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