Provider Demographics
NPI:1700170081
Name:INTEGRITY HEALTHCARE SUPPORTS
Entity Type:Organization
Organization Name:INTEGRITY HEALTHCARE SUPPORTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ASSUMPTA
Authorized Official - Middle Name:SUNDAY
Authorized Official - Last Name:ETUKUDO
Authorized Official - Suffix:
Authorized Official - Credentials:MED
Authorized Official - Phone:832-536-5889
Mailing Address - Street 1:6300 HILLCROFT ST
Mailing Address - Street 2:200
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77081-3006
Mailing Address - Country:US
Mailing Address - Phone:832-563-5889
Mailing Address - Fax:713-278-9711
Practice Address - Street 1:6300 HILLCROFT ST
Practice Address - Street 2:200
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77081-3006
Practice Address - Country:US
Practice Address - Phone:832-563-5889
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-04
Last Update Date:2011-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251B00000X
TXLSW 23892251B00000X
TXLSW11758251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management