Provider Demographics
NPI:1396259578
Name:R. K. MOUTON MINISTRIES
Entity type:Organization
Organization Name:R. K. MOUTON MINISTRIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PASTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:K
Authorized Official - Last Name:MOUTON
Authorized Official - Suffix:SR
Authorized Official - Credentials:DR OF THEOLOGY
Authorized Official - Phone:713-747-2534
Mailing Address - Street 1:5702 CALHOUN RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77021-2802
Mailing Address - Country:US
Mailing Address - Phone:713-747-2534
Mailing Address - Fax:
Practice Address - Street 1:5702 CALHOUN RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77021-2802
Practice Address - Country:US
Practice Address - Phone:713-747-2534
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-26
Last Update Date:2017-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282J00000XHospitalsReligious Nonmedical Health Care Institution