Provider Demographics
NPI:1497051759
Name:FIDELITY CHASE HEALTH SOLUTIONS INC
Entity Type:Organization
Organization Name:FIDELITY CHASE HEALTH SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:J
Authorized Official - Last Name:BURKHALTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-623-1957
Mailing Address - Street 1:12807 ASHFORD MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2136
Mailing Address - Country:US
Mailing Address - Phone:832-623-1957
Mailing Address - Fax:281-556-5591
Practice Address - Street 1:12807 ASHFORD MEADOW DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2136
Practice Address - Country:US
Practice Address - Phone:832-623-1957
Practice Address - Fax:281-556-5591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-03
Last Update Date:2011-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX273Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit