Provider Demographics
NPI:1649414616
Name:EGO HEALTH SERVICES
Entity Type:Organization
Organization Name:EGO HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EBUBE
Authorized Official - Middle Name:GO
Authorized Official - Last Name:EHIOBU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-871-1818
Mailing Address - Street 1:2912 N MACARTHUR BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75062-4489
Mailing Address - Country:US
Mailing Address - Phone:972-871-1818
Mailing Address - Fax:972-252-3300
Practice Address - Street 1:2912 N MACARTHUR BLVD STE 104
Practice Address - Street 2:
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75062-4489
Practice Address - Country:US
Practice Address - Phone:972-871-1818
Practice Address - Fax:972-252-3300
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EGO GROUP, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-04-22
Last Update Date:2013-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health