Individual
VANESSA OBASEKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2619 PINE SHADOW, SUGARLAND, TX 77479
(281) 546-8634
(713) 746-7446
Mailing address
2619 PINE SHADOW, SUGARLAND, TX 77479
(281) 546-8634
(713) 746-7446
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
11942515
TX
347E00000X
Transportation Broker
11942515
TX
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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