Provider Demographics
NPI:1841580602
Name:DIRECT CARE CLINIC INC
Entity Type:Organization
Organization Name:DIRECT CARE CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:OAKEY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHIKERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-255-0846
Mailing Address - Street 1:7447 HARWIN DR
Mailing Address - Street 2:#243-G
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2016
Mailing Address - Country:US
Mailing Address - Phone:713-255-0846
Mailing Address - Fax:281-988-7142
Practice Address - Street 1:7447 HARWIN DR
Practice Address - Street 2:#243-G
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2016
Practice Address - Country:US
Practice Address - Phone:713-255-0846
Practice Address - Fax:281-988-7142
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-13
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty