Provider Demographics
NPI:1629693924
Name:MEDCOMPLETE
Entity Type:Organization
Organization Name:MEDCOMPLETE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:
Authorized Official - First Name:AJI HADDY
Authorized Official - Middle Name:
Authorized Official - Last Name:SAHOR
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:918-845-8842
Mailing Address - Street 1:5418 MUSTANG RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:FULSHEAR
Mailing Address - State:TX
Mailing Address - Zip Code:77441-2138
Mailing Address - Country:US
Mailing Address - Phone:918-845-8842
Mailing Address - Fax:832-838-4031
Practice Address - Street 1:25118 LAKEVIEW RD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-5509
Practice Address - Country:US
Practice Address - Phone:832-838-4031
Practice Address - Fax:832-838-4032
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MEDCOMPLETE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-06-11
Last Update Date:2020-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty