Organization
MK HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANFRED BISONG ENOH REGISTERED NURSE (ADMINISTRATOR)
(817) 903-8467
Entity
Organization
Contact information
Practice address
112 GARDEN GROVE LN # TX75154, RED OAK, TX 75154-0150
(817) 903-8467
(469) 552-6255
Mailing address
112 GARDEN GROVE LN # TX75154, RED OAK, TX 75154-0150
(817) 903-8467
(469) 552-6255
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26386910
DRIVER'S LICENSE
TX
05
—
446173740
—
TX
01
—
803707314
SOS
TX
05
—
803707314
—
TX
Enumeration date
12/13/2022
Last updated
12/13/2022
About Stedi
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