Provider Demographics
NPI:1003862301
Name:SOUTHWEST EMPOWERMENT CENTER, INC.
Entity Type:Organization
Organization Name:SOUTHWEST EMPOWERMENT CENTER, INC.
Other - Org Name:DOCTOR'S HOME HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SUZANNE
Authorized Official - Middle Name:C
Authorized Official - Last Name:ARAQUIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-885-0953
Mailing Address - Street 1:2600 S. GESSNER RD.
Mailing Address - Street 2:SUITE 210
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-3217
Mailing Address - Country:US
Mailing Address - Phone:713-885-0953
Mailing Address - Fax:713-885-0951
Practice Address - Street 1:2600 S. GESSNER RD.
Practice Address - Street 2:SUITE 210
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-3217
Practice Address - Country:US
Practice Address - Phone:713-885-0953
Practice Address - Fax:713-885-0951
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX012195251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX012195OtherSTATE LICENSE
TX012195OtherSTATE LICENSE