Organization
VINTAGE HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLA E OWUAMA (ADMINISTRATOR)
(281) 739-3825
Entity
Organization
Contact information
Practice address
8700 COMMERCE PARK DR, 228D, HOUSTON, TX 77036-7497
(281) 739-3825
Mailing address
8700 COMMERCE PARK DR, 228D, HOUSTON, TX 77036-7497
(281) 739-3825
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
3416L0300X
Land Ambulance
1000462
TX
Other
Enumeration date
09/30/2009
Last updated
08/18/2010
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