Provider Demographics
NPI:1265814107
Name:AUREUS MEDICAL CENTER
Entity Type:Organization
Organization Name:AUREUS MEDICAL CENTER
Other - Org Name:AUREUS FAMILY MEDICINE AND URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KWADWO
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIMPONG-BADU
Authorized Official - Suffix:
Authorized Official - Credentials:MHA, MBA
Authorized Official - Phone:405-219-0130
Mailing Address - Street 1:11800 CITY PARK CENTRAL LN
Mailing Address - Street 2:APT 834
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77047-3242
Mailing Address - Country:US
Mailing Address - Phone:405-219-0130
Mailing Address - Fax:
Practice Address - Street 1:11800 CITY PARK CENTRAL LN
Practice Address - Street 2:APT 834
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77047-3242
Practice Address - Country:US
Practice Address - Phone:405-219-0130
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-27
Last Update Date:2015-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care