Provider Demographics
NPI:1093012932
Name:FAIRVIEW PRIMARY CARE AND HEALTH SERVICES INC
Entity Type:Organization
Organization Name:FAIRVIEW PRIMARY CARE AND HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:
Authorized Official - Last Name:EKWEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-988-1119
Mailing Address - Street 1:9100 SW FWY STE 252
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1531
Mailing Address - Country:US
Mailing Address - Phone:713-988-1119
Mailing Address - Fax:713-988-1311
Practice Address - Street 1:9100 SW FWY STE 252
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1531
Practice Address - Country:US
Practice Address - Phone:713-988-1119
Practice Address - Fax:713-988-1311
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-11
Last Update Date:2011-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health