Provider Demographics
NPI:1851358758
Name:SULTAN MEDICAL SERVICES, INC.
Entity Type:Organization
Organization Name:SULTAN MEDICAL SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:OKON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-773-2000
Mailing Address - Street 1:10101 SOUTHWEST FWY
Mailing Address - Street 2:STE 430
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1126
Mailing Address - Country:US
Mailing Address - Phone:713-773-2000
Mailing Address - Fax:713-773-9070
Practice Address - Street 1:10101 SOUTHWEST FWY
Practice Address - Street 2:STE 430
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1126
Practice Address - Country:US
Practice Address - Phone:713-773-2000
Practice Address - Fax:713-773-9070
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-26
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX006599251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX678416Medicare Oscar/Certification