Provider Demographics
NPI:1417188095
Name:LD HEALTHCARE SYSTEMS, CORP.
Entity Type:Organization
Organization Name:LD HEALTHCARE SYSTEMS, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP/TREASURER
Authorized Official - Prefix:MS
Authorized Official - First Name:LUBA
Authorized Official - Middle Name:EUGENIA
Authorized Official - Last Name:DIANGAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-641-5179
Mailing Address - Street 1:2100 TANNEHILL DR
Mailing Address - Street 2:STE. 2093
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-3125
Mailing Address - Country:US
Mailing Address - Phone:832-641-5179
Mailing Address - Fax:
Practice Address - Street 1:5847 SAN FELIPE ST
Practice Address - Street 2:STE.1730
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-3000
Practice Address - Country:US
Practice Address - Phone:832-641-5179
Practice Address - Fax:530-420-4260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-30
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No170300000XOther Service ProvidersGenetic Counselor, MSGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty
No261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health
No261QG0250XAmbulatory Health Care FacilitiesClinic/CenterGenetics
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Multi-Specialty