Organization
CT PEDIATRIC SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OLUGBEMISOLA OLAOYE RN, MBA (OWNER/ADMIN)
(713) 484-5122
Entity
Organization
Contact information
Practice address
10103 FONDREN RD, 500, HOUSTON, TX 77096-4556
(713) 484-5122
(281) 768-7911
Mailing address
10103 FONDREN RD, 500, HOUSTON, TX 77096-4665
(713) 484-5122
(281) 768-7911
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
009827
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175663701
—
TX
Enumeration date
10/02/2006
Last updated
08/14/2008
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