Provider Demographics
NPI:1407405640
Name:HOUSTON DIRECT HEALTHCARE, LLC
Entity Type:Organization
Organization Name:HOUSTON DIRECT HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FAMILY NURSE PRACTITIONER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAHER
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEHAB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-290-6748
Mailing Address - Street 1:1262 SEAMIST DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-6146
Mailing Address - Country:US
Mailing Address - Phone:386-290-6748
Mailing Address - Fax:
Practice Address - Street 1:1717 W 34TH ST UNIT 600
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77018-6264
Practice Address - Country:US
Practice Address - Phone:713-568-5170
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-10
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health