Provider Demographics
NPI:1396983102
Name:GERIATRIC VISITING PHYSICIANS
Entity type:Organization
Organization Name:GERIATRIC VISITING PHYSICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ODUOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-969-3315
Mailing Address - Street 1:7322 SW FWY
Mailing Address - Street 2:SUITE 615
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2010
Mailing Address - Country:US
Mailing Address - Phone:832-969-3315
Mailing Address - Fax:
Practice Address - Street 1:7322 SW FWY
Practice Address - Street 2:SUITE 615
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2010
Practice Address - Country:US
Practice Address - Phone:832-969-3315
Practice Address - Fax:281-855-0268
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-02
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Multi-Specialty