Provider Demographics
NPI:1295412682
Name:SUPPORT SERVICES DE ELGIGA LLC
Entity type:Organization
Organization Name:SUPPORT SERVICES DE ELGIGA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DOUBRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARIAYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-679-6901
Mailing Address - Street 1:9801 WESTHEIMER RD STE 300
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-3979
Mailing Address - Country:US
Mailing Address - Phone:281-310-7181
Mailing Address - Fax:
Practice Address - Street 1:9801 WESTHEIMER RD STE 300
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-3979
Practice Address - Country:US
Practice Address - Phone:281-310-7181
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-28
Last Update Date:2023-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Multi-Specialty