Provider Demographics
NPI:1073051686
Name:CARE ROYALE
Entity Type:Organization
Organization Name:CARE ROYALE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL PHYSICIAN ADVISOR
Authorized Official - Prefix:
Authorized Official - First Name:EBENEZER
Authorized Official - Middle Name:OLUSOLA
Authorized Official - Last Name:AKANGBE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-853-3847
Mailing Address - Street 1:11214 DUNSTAN HILL DR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-1845
Mailing Address - Country:US
Mailing Address - Phone:832-853-3847
Mailing Address - Fax:
Practice Address - Street 1:11214 DUNSTAN HILL DR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-1845
Practice Address - Country:US
Practice Address - Phone:832-853-3847
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-02
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based