Provider Demographics
NPI:1720021520
Name:SPECTRUM FOUNDATION INC
Entity Type:Organization
Organization Name:SPECTRUM FOUNDATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:EMEKA
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:ORJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-344-9050
Mailing Address - Street 1:301 S 9TH ST
Mailing Address - Street 2:#112
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-3448
Mailing Address - Country:US
Mailing Address - Phone:281-344-9050
Mailing Address - Fax:281-344-9075
Practice Address - Street 1:301 S 9TH ST
Practice Address - Street 2:#112
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-3448
Practice Address - Country:US
Practice Address - Phone:281-344-9050
Practice Address - Fax:281-344-9075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX0088071332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies