Provider Demographics
NPI:1497995625
Name:CHIDEX CASE MANAGEMENT SERVICES
Entity Type:Organization
Organization Name:CHIDEX CASE MANAGEMENT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:WILFRED
Authorized Official - Middle Name:A
Authorized Official - Last Name:OKAFOR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-692-9493
Mailing Address - Street 1:7331 HARWIN DR
Mailing Address - Street 2:SUITE 207
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2048
Mailing Address - Country:US
Mailing Address - Phone:832-692-9493
Mailing Address - Fax:
Practice Address - Street 1:7331 HARWIN DR
Practice Address - Street 2:SUITE 207
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2048
Practice Address - Country:US
Practice Address - Phone:832-692-9493
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HARWIN TRANSPORTERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-02-27
Last Update Date:2009-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management