Provider Demographics
NPI:1467950246
Name:ROCK ORAREIGN GROUP
Entity Type:Organization
Organization Name:ROCK ORAREIGN GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ESTELLE
Authorized Official - Middle Name:EULOGE
Authorized Official - Last Name:AKOPO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-439-6732
Mailing Address - Street 1:9100 MILLS RD APT 1002
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-5558
Mailing Address - Country:US
Mailing Address - Phone:832-439-6732
Mailing Address - Fax:
Practice Address - Street 1:9100 MILLS RD APT 1002
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-5558
Practice Address - Country:US
Practice Address - Phone:832-439-6732
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-26
Last Update Date:2018-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)