Provider Demographics
NPI:1275170623
Name:COMMUNITY DEVELOPMENT SERVICES
Entity Type:Organization
Organization Name:COMMUNITY DEVELOPMENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OSAGIE
Authorized Official - Middle Name:O
Authorized Official - Last Name:ODEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-623-2420
Mailing Address - Street 1:PO BOX 420668
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77242-0668
Mailing Address - Country:US
Mailing Address - Phone:281-208-7406
Mailing Address - Fax:281-969-8954
Practice Address - Street 1:2015 SANDY KNOLL DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-3073
Practice Address - Country:US
Practice Address - Phone:281-208-7406
Practice Address - Fax:281-969-8954
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-04
Last Update Date:2019-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service