Provider Demographics
NPI:1750138970
Name:KOLIN ANGELS HEALTH SERVICES PLLC
Entity type:Organization
Organization Name:KOLIN ANGELS HEALTH SERVICES PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHIKOSOLU
Authorized Official - Middle Name:I
Authorized Official - Last Name:IWOBI
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:281-815-8205
Mailing Address - Street 1:801 FM 1463
Mailing Address - Street 2:SUITE 200 #340
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-7925
Mailing Address - Country:US
Mailing Address - Phone:281-815-8205
Mailing Address - Fax:
Practice Address - Street 1:21230 KINGSLAND BLVD
Practice Address - Street 2:STE 400
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450
Practice Address - Country:US
Practice Address - Phone:281-815-8205
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KOLIN ANGELS HEALTH SERVICES PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-05-06
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Yes2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity Medicine
No253Z00000XAgenciesIn Home Supportive Care