Provider Demographics
NPI:1851474050
Name:VISIONAIRE PLUS, INC
Entity Type:Organization
Organization Name:VISIONAIRE PLUS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENT
Authorized Official - Prefix:MS
Authorized Official - First Name:VERNA
Authorized Official - Middle Name:
Authorized Official - Last Name:GILYARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-891-5127
Mailing Address - Street 1:PO BOX 20288
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77225-0288
Mailing Address - Country:US
Mailing Address - Phone:832-891-5127
Mailing Address - Fax:
Practice Address - Street 1:10039 BISSONNET ST
Practice Address - Street 2:STE. 120
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-7854
Practice Address - Country:US
Practice Address - Phone:832-891-5127
Practice Address - Fax:832-288-3317
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-23
Last Update Date:2011-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty