Provider Demographics
NPI:1124360037
Name:HENBREN HEALTHCARE LLC
Entity Type:Organization
Organization Name:HENBREN HEALTHCARE LLC
Other - Org Name:HENBREN EMS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OLUGBENGA
Authorized Official - Middle Name:
Authorized Official - Last Name:COKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-667-8601
Mailing Address - Street 1:15334 MISTY DAWN TRL
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-5893
Mailing Address - Country:US
Mailing Address - Phone:508-667-8601
Mailing Address - Fax:281-817-5904
Practice Address - Street 1:15334 MISTY DAWN TRL
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-5893
Practice Address - Country:US
Practice Address - Phone:508-667-8601
Practice Address - Fax:281-817-5904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-19
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10008823416L0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport