Provider Demographics
NPI:1508907783
Name:CARDINAL HEALTH SERVICES INC
Entity Type:Organization
Organization Name:CARDINAL HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:NWOKEM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-771-4050
Mailing Address - Street 1:9100 SOUTHWEST FWY
Mailing Address - Street 2:STE 102
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1519
Mailing Address - Country:US
Mailing Address - Phone:713-771-4050
Mailing Address - Fax:713-771-1318
Practice Address - Street 1:9100 SOUTHWEST FWY
Practice Address - Street 2:STE 102
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1519
Practice Address - Country:US
Practice Address - Phone:713-771-4050
Practice Address - Fax:713-771-1318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX008972251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX457900Medicare ID - Type UnspecifiedPROVIDER NUMBER