Provider Demographics
NPI:1437560190
Name:REEZ PEDIATRIC HEALTHCARE INC
Entity Type:Organization
Organization Name:REEZ PEDIATRIC HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:RAPHAEL
Authorized Official - Middle Name:ARINZE
Authorized Official - Last Name:NWAJIAKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-239-3118
Mailing Address - Street 1:301 S 9TH ST STE 108
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-3448
Mailing Address - Country:US
Mailing Address - Phone:281-239-3118
Mailing Address - Fax:281-762-0690
Practice Address - Street 1:301 S 9TH ST STE 108
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-3448
Practice Address - Country:US
Practice Address - Phone:281-239-3118
Practice Address - Fax:281-762-0690
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REEZ PEDIATRIC HEALTHCARE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-05-15
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011072251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health