Organization
CITADEL HEALTHCARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EYITUOYO OSARO ONUWAJE (CEO)
(713) 935-5847
Entity
Organization
Contact information
Practice address
9202 HONEY BIRD CT, RICHMOND, TX 77407-1906
(713) 935-5847
Mailing address
9202 HONEY BIRD CT, RICHMOND, TX 77407-1906
(713) 935-5847
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZGP838663177
BLUE CROSS BLUESHIELD
TX
Enumeration date
07/01/2020
Last updated
07/04/2020
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