Organization
TX EXCEL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DICKSON IDUSUYI (CEO)
(225) 610-5376
Entity
Organization
Contact information
Practice address
2500 WILCREST DR STE 300, HOUSTON, TX 77042-2754
(225) 610-5376
Mailing address
9052 RUSHWOOD DR, BATON ROUGE, LA 70818-4737
(225) 610-5376
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
Other
Enumeration date
01/23/2021
Last updated
09/26/2024
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