Provider Demographics
NPI:1558843144
Name:ABC HEALTH CONNECTION, INC.
Entity Type:Organization
Organization Name:ABC HEALTH CONNECTION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANITA
Authorized Official - Middle Name:LORAE
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-447-1346
Mailing Address - Street 1:11614 BADGERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77013-4802
Mailing Address - Country:US
Mailing Address - Phone:713-447-1346
Mailing Address - Fax:713-455-5465
Practice Address - Street 1:2019 CRAWFORD ST RM 128
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-9002
Practice Address - Country:US
Practice Address - Phone:713-447-1346
Practice Address - Fax:713-455-5465
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-30
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily HealthGroup - Single Specialty