Organization
SIMEON ANUGWOM
Active
Other names
SIDA HEALTH CARE AND REHABILITATION
Organization subpart
No
Provider details
NPI number
Authorized official
MR. INNOCENT DAMIAN ANUGWOM BBA, MPA (CASE WORKER)
(832) 594-3188
Entity
Organization
Contact information
Practice address
5411 RIDGE WIND LN, HOUSTON, TX 77053-5223
(832) 594-3188
(281) 565-1484
Mailing address
5411 RIDGE WIND LN, HOUSTON, TX 77053-5223
(832) 594-3188
(281) 565-1484
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SIMEON3975
—
TX
Enumeration date
04/14/2010
Last updated
04/14/2010
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