Provider Demographics
NPI:1346881448
Name:CHREIDI INC
Entity Type:Organization
Organization Name:CHREIDI INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WISAM
Authorized Official - Middle Name:F
Authorized Official - Last Name:CHREIDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-633-8437
Mailing Address - Street 1:3006 SKYPARK DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-3533
Mailing Address - Country:US
Mailing Address - Phone:281-704-1077
Mailing Address - Fax:
Practice Address - Street 1:6776 SOUTHWEST FWY STE 532
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2113
Practice Address - Country:US
Practice Address - Phone:979-633-8437
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CHREIDI INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-10-01
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)