Provider Demographics
NPI:1164844536
Name:ABSOLOUTE KHEIR
Entity Type:Organization
Organization Name:ABSOLOUTE KHEIR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PATIENT CARE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:PHIL
Authorized Official - Middle Name:J
Authorized Official - Last Name:SULLIVAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-557-0890
Mailing Address - Street 1:651 N EGRET BAY BLVD STE K
Mailing Address - Street 2:
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-2665
Mailing Address - Country:US
Mailing Address - Phone:281-557-0890
Mailing Address - Fax:281-557-0986
Practice Address - Street 1:651 N EGRET BAY BLVD STE K
Practice Address - Street 2:
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-2665
Practice Address - Country:US
Practice Address - Phone:281-557-0890
Practice Address - Fax:281-557-0986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-20
Last Update Date:2014-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
TX1497981419251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health