Organization
EMINENT PROVIDER SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EZIECHINA OKWOR (ADMINISTRATION)
(832) 419-8886
Entity
Organization
Contact information
Practice address
911 MARIGOLD PARK PL, RICHMOND, TX 77406-7867
(832) 419-8886
Mailing address
911 MARIGOLD PARK PL, RICHMOND, TX 77406-7867
(832) 419-8886
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
782296
TX
Other
Enumeration date
12/30/2017
Last updated
12/30/2017
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