Organization
HEALTH STREET HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS O EZENWA (ADMINISTRATOR)
(713) 773-4200
Entity
Organization
Contact information
Practice address
8449 W. BELFORT STREET, #222, HOUSTON, TX 77071
(713) 773-4200
(713) 773-4201
Mailing address
8449 W. BELFORT STREET, #222, HOUSTON, TX 77071
(713) 773-4200
(713) 773-4201
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
000000
TX
Other
Enumeration date
07/09/2006
Last updated
12/25/2007
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