Provider Demographics
NPI:1538494398
Name:BMO HEALTHCARE GROUP INC
Entity Type:Organization
Organization Name:BMO HEALTHCARE GROUP INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NKOLI
Authorized Official - Middle Name:
Authorized Official - Last Name:EZENWA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-564-5556
Mailing Address - Street 1:13122 BROOKSIDE DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-2787
Mailing Address - Country:US
Mailing Address - Phone:281-636-3165
Mailing Address - Fax:281-857-6746
Practice Address - Street 1:13122 BROOKSIDE DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-2787
Practice Address - Country:US
Practice Address - Phone:281-636-3165
Practice Address - Fax:281-857-6746
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-13
Last Update Date:2012-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service