Organization
PREMIO HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL AKINOLA POPOOLA (DIRECTOR)
(408) 674-8679
Entity
Organization
Contact information
Practice address
1102 PAUL QUINN ST UNIT M, HOUSTON, TX 77091-5581
(408) 674-8679
Mailing address
1102 PAUL QUINN ST UNIT M, HOUSTON, TX 77091-5581
(408) 674-8679
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001
—
TX
Enumeration date
10/06/2021
Last updated
07/19/2025
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