Provider Demographics
NPI:1760264089
Name:LINCONL HOUSE LLC
Entity Type:Organization
Organization Name:LINCONL HOUSE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:DOMINIC
Authorized Official - Middle Name:
Authorized Official - Last Name:NJOKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-272-5775
Mailing Address - Street 1:9800 CENTRE PKWY STE 612
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8457
Mailing Address - Country:US
Mailing Address - Phone:832-272-5775
Mailing Address - Fax:
Practice Address - Street 1:9800 CENTRE PKWY STE 612
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8457
Practice Address - Country:US
Practice Address - Phone:832-272-5775
Practice Address - Fax:346-571-0151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-20
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty