Provider Demographics
NPI:1326559808
Name:PRIORITY COMMUNITY HEALTHCARE LLC
Entity Type:Organization
Organization Name:PRIORITY COMMUNITY HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:OLUWABUNMI
Authorized Official - Middle Name:GABRIEL
Authorized Official - Last Name:ADESEMOYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-310-5745
Mailing Address - Street 1:9894 BISSONNET ST STE 215
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8035
Mailing Address - Country:US
Mailing Address - Phone:832-310-5745
Mailing Address - Fax:
Practice Address - Street 1:9894 BISSONNET ST STE 215
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8035
Practice Address - Country:US
Practice Address - Phone:832-310-5745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-10-23
Last Update Date:2017-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty