Provider Demographics
NPI:1851710131
Name:FOCUM FAMILY BEHAVIORAL HEALTH SERVICES
Entity Type:Organization
Organization Name:FOCUM FAMILY BEHAVIORAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:EBEGHIANYE
Authorized Official - Last Name:OHIKU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:281-799-1640
Mailing Address - Street 1:9950 WESTPARK DR STE 634
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-5373
Mailing Address - Country:US
Mailing Address - Phone:713-757-2508
Mailing Address - Fax:
Practice Address - Street 1:9950 WESTPARK DR STE 634
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-5373
Practice Address - Country:US
Practice Address - Phone:713-757-2508
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-15
Last Update Date:2014-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM6322261QM0801X, 261QM0850X, 261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health