Provider Demographics
NPI:1003017161
Name:FAMILY HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:FAMILY HEALTHCARE SERVICES
Other - Org Name:FAMILIY DME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CLIFFORD
Authorized Official - Middle Name:
Authorized Official - Last Name:UBANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-272-0800
Mailing Address - Street 1:8313 SOUTHWEST FWY
Mailing Address - Street 2:SUITE #113
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1611
Mailing Address - Country:US
Mailing Address - Phone:713-272-0800
Mailing Address - Fax:713-272-0801
Practice Address - Street 1:8313 SOUTHWEST FWY
Practice Address - Street 2:SUITE #113
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1611
Practice Address - Country:US
Practice Address - Phone:713-271-0800
Practice Address - Fax:713-272-0801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-29
Last Update Date:2008-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0091165332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6002380001Medicare NSC