Provider Demographics
NPI:1770325805
Name:DRIPOLOGY HOUSTON LLC
Entity type:Organization
Organization Name:DRIPOLOGY HOUSTON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:FORREST
Authorized Official - Suffix:
Authorized Official - Credentials:LICENSED PARAMEDIC
Authorized Official - Phone:281-270-8331
Mailing Address - Street 1:24285 KATY FWY STE 300-456
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-1165
Mailing Address - Country:US
Mailing Address - Phone:281-270-8331
Mailing Address - Fax:
Practice Address - Street 1:24285 KATY FWY STE 300-456
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-1165
Practice Address - Country:US
Practice Address - Phone:281-270-8331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-10
Last Update Date:2024-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service