Provider Demographics
NPI:1073272407
Name:MAXWELL'S HOUSE OF ABILITIES
Entity Type:Organization
Organization Name:MAXWELL'S HOUSE OF ABILITIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHELLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-447-7576
Mailing Address - Street 1:3303 FM 1960 RD W STE 100
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068-3611
Mailing Address - Country:US
Mailing Address - Phone:832-447-7576
Mailing Address - Fax:
Practice Address - Street 1:3303 FM 1960 RD W STE 100
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068-3611
Practice Address - Country:US
Practice Address - Phone:832-447-7576
Practice Address - Fax:832-666-7846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-13
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty