Provider Demographics
NPI:1437939576
Name:GOZZY ENTERPRISE
Entity Type:Organization
Organization Name:GOZZY ENTERPRISE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:VALENTINE
Authorized Official - Middle Name:O
Authorized Official - Last Name:UGOCHUKWU
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:832-574-3586
Mailing Address - Street 1:13099 WESTHEIMER RD APT 2607
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-5582
Mailing Address - Country:US
Mailing Address - Phone:832-574-3586
Mailing Address - Fax:
Practice Address - Street 1:13099 WESTHEIMER RD APT 2607
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-5582
Practice Address - Country:US
Practice Address - Phone:832-574-3586
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-05
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)