Provider Demographics
NPI:1689268484
Name:R & T GRACIOUS HEALTHCARE LLC
Entity Type:Organization
Organization Name:R & T GRACIOUS HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:OLUWATOBI
Authorized Official - Middle Name:O
Authorized Official - Last Name:OGUNTUASE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-517-3154
Mailing Address - Street 1:19206 CYPRESS ESTATES CT
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-8949
Mailing Address - Country:US
Mailing Address - Phone:713-517-3154
Mailing Address - Fax:
Practice Address - Street 1:19206 CYPRESS ESTATES CT
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77388-8949
Practice Address - Country:US
Practice Address - Phone:713-517-3154
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-23
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care