Provider Demographics
NPI:1831304534
Name:HEALTH PRO RESOURCE LLC
Entity Type:Organization
Organization Name:HEALTH PRO RESOURCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MISS
Authorized Official - First Name:JODI
Authorized Official - Middle Name:LEONORE
Authorized Official - Last Name:LATSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-795-5117
Mailing Address - Street 1:3730 KIRBY
Mailing Address - Street 2:SUITE 1200
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098
Mailing Address - Country:US
Mailing Address - Phone:713-795-5117
Mailing Address - Fax:
Practice Address - Street 1:2260 W HOLCOMBE BLVD
Practice Address - Street 2:SUITE 304
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-2008
Practice Address - Country:US
Practice Address - Phone:713-795-5117
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-14
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization