Provider Demographics
NPI:1376607986
Name:THE ARK HEALTHCARE MINISTRY INC
Entity Type:Organization
Organization Name:THE ARK HEALTHCARE MINISTRY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:N
Authorized Official - Last Name:EMMANUEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-776-2245
Mailing Address - Street 1:11000 FONDREN RD
Mailing Address - Street 2:SUITE B101
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-5513
Mailing Address - Country:US
Mailing Address - Phone:713-776-2245
Mailing Address - Fax:713-776-2406
Practice Address - Street 1:11000 FONDREN RD
Practice Address - Street 2:SUITE B101
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-5513
Practice Address - Country:US
Practice Address - Phone:713-776-2245
Practice Address - Fax:713-776-2406
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE ARK HEALTHCARE MINISTRY INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-12-20
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
175L00000X
TX251B00000X251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175L00000XOther Service ProvidersHomeopathGroup - Single Specialty
No251B00000XAgenciesCase ManagementGroup - Single Specialty