Provider Demographics
NPI:1982003729
Name:BRAZORIA TRANSITIONS COMMUNITY HEALTHCARE CENTER, INC.
Entity Type:Organization
Organization Name:BRAZORIA TRANSITIONS COMMUNITY HEALTHCARE CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:OBUKOHWO
Authorized Official - Middle Name:
Authorized Official - Last Name:UWANOGHO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-745-2199
Mailing Address - Street 1:6140 HIGHWAY 6 # 226
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-3802
Mailing Address - Country:US
Mailing Address - Phone:281-745-2199
Mailing Address - Fax:
Practice Address - Street 1:6140 HIGHWAY 6 # 226
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-3802
Practice Address - Country:US
Practice Address - Phone:281-745-2199
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-18
Last Update Date:2014-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty