Provider Demographics
NPI:1841699063
Name:AMER-ASIAN HEALTH CARE PROFESSIONALS
Entity type:Organization
Organization Name:AMER-ASIAN HEALTH CARE PROFESSIONALS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:VIRTUDES
Authorized Official - Middle Name:MONTILLANO
Authorized Official - Last Name:MEDINA
Authorized Official - Suffix:
Authorized Official - Credentials:DIRECTOR OF NURSING
Authorized Official - Phone:281-965-0144
Mailing Address - Street 1:21415 N TANGLE CREEK LN
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-4044
Mailing Address - Country:US
Mailing Address - Phone:281-965-0144
Mailing Address - Fax:281-385-9749
Practice Address - Street 1:24624 INTERSTATE 45 NORTH SUITE 200
Practice Address - Street 2:
Practice Address - City:WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77379
Practice Address - Country:US
Practice Address - Phone:281-719-1467
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-14
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX19663952042291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory