Provider Demographics
NPI:1275781601
Name:KINA HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:KINA HEALTHCARE SERVICES INC
Other - Org Name:1ST REGENCY SUPPLY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:INNOCENT
Authorized Official - Middle Name:CHINEDU
Authorized Official - Last Name:ABAKWUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-972-9000
Mailing Address - Street 1:PO BOX 36531
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77236-6531
Mailing Address - Country:US
Mailing Address - Phone:713-972-9000
Mailing Address - Fax:713-972-9002
Practice Address - Street 1:7111 HARWIN DR
Practice Address - Street 2:SUITE 136
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2129
Practice Address - Country:US
Practice Address - Phone:713-972-9000
Practice Address - Fax:713-972-9002
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KINA HEALTHCARE SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-08-27
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0106095332B00000X
TX9981303332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment