Provider Demographics
NPI:1992862270
Name:CHAMELEON SERVICES
Entity Type:Organization
Organization Name:CHAMELEON SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:HILTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-996-7004
Mailing Address - Street 1:7035 W TIDWELL RD
Mailing Address - Street 2:STE. J-111
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77092-2054
Mailing Address - Country:US
Mailing Address - Phone:713-996-7004
Mailing Address - Fax:713-996-7010
Practice Address - Street 1:7035 W TIDWELL RD
Practice Address - Street 2:STE. J-111
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-2054
Practice Address - Country:US
Practice Address - Phone:713-996-7004
Practice Address - Fax:713-996-7010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Single Specialty