Provider Demographics
NPI:1982849493
Name:AUSBERRY, ALBERT DARNELL
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:DARNELL
Last Name:AUSBERRY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16303 LEEDSWELL LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77084-6460
Mailing Address - Country:US
Mailing Address - Phone:832-721-0599
Mailing Address - Fax:281-463-4348
Practice Address - Street 1:16303 LEEDSWELL LN
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-6460
Practice Address - Country:US
Practice Address - Phone:832-721-0599
Practice Address - Fax:281-463-4348
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-11
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator