Provider Demographics
NPI:1144230541
Name:REALISTIC HEALTH CARE SERVICES INC.
Entity Type:Organization
Organization Name:REALISTIC HEALTH CARE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR & MEDICAL ADVISOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ALFRED
Authorized Official - Middle Name:OLAFISOYE
Authorized Official - Last Name:ADEGBOYEGUN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-686-4676
Mailing Address - Street 1:9401 BEECHNUT ST APT 208
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-6679
Mailing Address - Country:US
Mailing Address - Phone:281-686-4676
Mailing Address - Fax:713-272-8067
Practice Address - Street 1:4405 N NAVARRO ST APT 1508
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77904-2057
Practice Address - Country:US
Practice Address - Phone:832-651-4276
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health