Provider Demographics
NPI:1508803875
Name:OBI, JOACHIM I
Entity Type:Individual
Prefix:MR
First Name:JOACHIM
Middle Name:I
Last Name:OBI
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8906 RIVERWELL CIR E
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-7720
Mailing Address - Country:US
Mailing Address - Phone:832-279-6100
Mailing Address - Fax:713-728-2230
Practice Address - Street 1:8906 RIVERWELL CIR E
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-7720
Practice Address - Country:US
Practice Address - Phone:832-279-6100
Practice Address - Fax:713-728-2230
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker