Provider Demographics
NPI:1558508721
Name:IHEOMA ABRAM DBA ZION MEDICAL SERVICES
Entity Type:Organization
Organization Name:IHEOMA ABRAM DBA ZION MEDICAL SERVICES
Other - Org Name:ZION MEDICAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:IHEOMA
Authorized Official - Middle Name:J
Authorized Official - Last Name:ABRAM OBI-AZUIKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-304-5851
Mailing Address - Street 1:9888 BISSONNET ST
Mailing Address - Street 2:SUITE 530
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8247
Mailing Address - Country:US
Mailing Address - Phone:713-304-5851
Mailing Address - Fax:713-981-5825
Practice Address - Street 1:9888 BISSONNET ST
Practice Address - Street 2:SUITE 530
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8247
Practice Address - Country:US
Practice Address - Phone:713-304-5851
Practice Address - Fax:713-981-5825
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-09
Last Update Date:2018-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251C00000X
320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities