Provider Demographics
NPI:1508825993
Name:METROPRO HEALTHCARE SERVICES, INC
Entity Type:Organization
Organization Name:METROPRO HEALTHCARE SERVICES, INC
Other - Org Name:PROFESSIONAL HEALTHCARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:IKE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANUWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-918-0700
Mailing Address - Street 1:811 S CENTRAL EXPY
Mailing Address - Street 2:SUITE 515
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-7415
Mailing Address - Country:US
Mailing Address - Phone:972-918-0700
Mailing Address - Fax:972-918-0702
Practice Address - Street 1:811 S CENTRAL EXPY
Practice Address - Street 2:SUITE 515
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-7415
Practice Address - Country:US
Practice Address - Phone:972-918-0700
Practice Address - Fax:972-918-0702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-22
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX007880251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX001003874Medicaid
TX001013072Medicaid
TX001003874Medicaid