Provider Demographics
NPI:1649599614
Name:AFTEROURS HOUSTON PA
Entity Type:Organization
Organization Name:AFTEROURS HOUSTON PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLMSTEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:713-777-6515
Mailing Address - Street 1:6895 E HAMPDEN AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-3047
Mailing Address - Country:US
Mailing Address - Phone:303-861-7878
Mailing Address - Fax:303-894-8066
Practice Address - Street 1:7545 S BRAESWOOD BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77071-1423
Practice Address - Country:US
Practice Address - Phone:713-777-6515
Practice Address - Fax:713-777-5544
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-28
Last Update Date:2010-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care