Provider Demographics
NPI:1043902935
Name:PERFECTION CARE PLLC
Entity Type:Organization
Organization Name:PERFECTION CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYEE
Authorized Official - Prefix:
Authorized Official - First Name:OLUSOLA
Authorized Official - Middle Name:
Authorized Official - Last Name:AGBOOLA
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:763-291-3647
Mailing Address - Street 1:32923 SILVER MEADOW WAY
Mailing Address - Street 2:
Mailing Address - City:BROOKSHIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77423-2885
Mailing Address - Country:US
Mailing Address - Phone:763-291-3647
Mailing Address - Fax:
Practice Address - Street 1:9990 BISSONNET ST STE 10006-B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8204
Practice Address - Country:US
Practice Address - Phone:763-291-3647
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-22
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care