Organization
CRUSADE INTEGRATED HEALTH SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CONSUELA L YANCY-COLE (PARTNER/PRESIDENT/ADMINISTRATOR)
(713) 778-9468
Entity
Organization
Contact information
Practice address
10101 FONDREN RD STE 327, HOUSTON, TX 77096-5124
(713) 778-9468
(713) 778-9469
Mailing address
10101 FONDREN RD STE 327, HOUSTON, TX 77096-5124
(713) 778-9468
(713) 778-9469
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155720901
—
TX
05
—
155720902
—
TX
Enumeration date
07/10/2006
Last updated
03/31/2010
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