Provider Demographics
NPI:1780852897
Name:PROSPERITY IN HEALTH
Entity Type:Organization
Organization Name:PROSPERITY IN HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:URSULA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-880-3778
Mailing Address - Street 1:3139 W HOLCOMBE BLVD
Mailing Address - Street 2:173
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-1505
Mailing Address - Country:US
Mailing Address - Phone:832-880-3778
Mailing Address - Fax:832-201-9750
Practice Address - Street 1:4903 RIDGE HARBOR DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77053-5319
Practice Address - Country:US
Practice Address - Phone:832-880-3778
Practice Address - Fax:832-201-9750
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-12
Last Update Date:2008-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36369251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management