Provider Demographics
NPI:1063759579
Name:CONNECTION HEALTHCARE,INC.
Entity type:Organization
Organization Name:CONNECTION HEALTHCARE,INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:KAY
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:432-332-4101
Mailing Address - Street 1:PO BOX 2006
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79760-2006
Mailing Address - Country:US
Mailing Address - Phone:432-332-4101
Mailing Address - Fax:432-550-9100
Practice Address - Street 1:2333 E 8TH ST STE B
Practice Address - Street 2:
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79761-4209
Practice Address - Country:US
Practice Address - Phone:432-332-4101
Practice Address - Fax:432-550-9100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-04
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier