Provider Demographics
NPI:1669571501
Name:BRAESNER HEALTH SERVICES, INC
Entity type:Organization
Organization Name:BRAESNER HEALTH SERVICES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUNDAY
Authorized Official - Middle Name:
Authorized Official - Last Name:NWOSUOCHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-777-1935
Mailing Address - Street 1:4843 SUNSHINE DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-2037
Mailing Address - Country:US
Mailing Address - Phone:713-777-1935
Mailing Address - Fax:713-995-4055
Practice Address - Street 1:4843 SUNSHINE DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-2037
Practice Address - Country:US
Practice Address - Phone:713-777-1935
Practice Address - Fax:713-995-4055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health