Provider Demographics
NPI:1326065178
Name:PADLOCK HEALTHCARE SERVICES, INC.
Entity Type:Organization
Organization Name:PADLOCK HEALTHCARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/PRESIDENT/CEO
Authorized Official - Prefix:PROF
Authorized Official - First Name:DARLINGTON
Authorized Official - Middle Name:IHEONU
Authorized Official - Last Name:NDUBUIKE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:713-772-7800
Mailing Address - Street 1:9207 COUNTRY CREEK DR
Mailing Address - Street 2:SUITE 203
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-7714
Mailing Address - Country:US
Mailing Address - Phone:713-772-7800
Mailing Address - Fax:713-772-7802
Practice Address - Street 1:9207 COUNTRY CREEK DR
Practice Address - Street 2:SUITE 203
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-7714
Practice Address - Country:US
Practice Address - Phone:713-772-7800
Practice Address - Fax:713-772-7802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-17
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX010087251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX677989Medicare Oscar/Certification