Provider Demographics
NPI:1396862975
Name:PINNACLE MEDICAL SYSTEMS,INC
Entity Type:Organization
Organization Name:PINNACLE MEDICAL SYSTEMS,INC
Other - Org Name:PINNACLE MEDICAL SYSTEMS, INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ZENOBIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANEKWE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:713-988-6358
Mailing Address - Street 1:8323 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 380
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1615
Mailing Address - Country:US
Mailing Address - Phone:713-988-6358
Mailing Address - Fax:713-988-6215
Practice Address - Street 1:8323 SOUTHWEST FWY
Practice Address - Street 2:SUITE 380
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1615
Practice Address - Country:US
Practice Address - Phone:713-988-6358
Practice Address - Fax:713-988-6215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008462251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX10059699Medicaid
TX001013400Medicaid
TX103315Medicaid
TX001013399Medicaid