Provider Demographics
NPI:1083444251
Name:ZION DIRECT HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:ZION DIRECT HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:APN
Authorized Official - Prefix:
Authorized Official - First Name:SATURDAY
Authorized Official - Middle Name:MATTHEW
Authorized Official - Last Name:UGBO
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, FNP, PMHNP
Authorized Official - Phone:346-367-3963
Mailing Address - Street 1:14526 OLD KATY RD STE 200
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-1042
Mailing Address - Country:US
Mailing Address - Phone:346-367-3963
Mailing Address - Fax:713-900-6321
Practice Address - Street 1:14526 OLD KATY RD STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-1042
Practice Address - Country:US
Practice Address - Phone:346-367-3963
Practice Address - Fax:713-900-6321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-03
Last Update Date:2025-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty