# CT PEDIATRIC SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003909763
- **Authorized official:** MR. OLUGBEMISOLA OLAOYE RN, MBA (OWNER/ADMIN)
- **Authorized official phone:** (713) 484-5122

## Contact information

- **Practice address:** 10103 FONDREN RD, 500, HOUSTON, TX 77096-4556
- **Practice address phone:** (713) 484-5122
- **Practice address fax:** (281) 768-7911
- **Mailing address:** 10103 FONDREN RD, 500, HOUSTON, TX 77096-4665
- **Mailing address phone:** (713) 484-5122
- **Mailing address fax:** (281) 768-7911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 009827 | TX | Yes |

## Other

- **Enumeration date:** 10/02/2006
- **Last updated:** 08/14/2008