Provider Demographics
NPI:1891023024
Name:RV HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:RV HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:ESSIEN
Authorized Official - Last Name:EDUOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-228-0291
Mailing Address - Street 1:1880 S DAIRY ASHFORD ST
Mailing Address - Street 2:106
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-4760
Mailing Address - Country:US
Mailing Address - Phone:832-228-0291
Mailing Address - Fax:866-473-0395
Practice Address - Street 1:1880 S DAIRY ASHFORD ST
Practice Address - Street 2:106
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77077-4760
Practice Address - Country:US
Practice Address - Phone:832-228-0291
Practice Address - Fax:866-473-0395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-29
Last Update Date:2009-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management