Provider Demographics
NPI:1104015528
Name:OUTSOURCE 4 SURE INC.
Entity type:Organization
Organization Name:OUTSOURCE 4 SURE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:AIJAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:HUSSAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-879-5222
Mailing Address - Street 1:12638 BISSONNET ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77099-1397
Mailing Address - Country:US
Mailing Address - Phone:281-879-5222
Mailing Address - Fax:281-879-5333
Practice Address - Street 1:12638 BISSONNET ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77099-1397
Practice Address - Country:US
Practice Address - Phone:281-879-5222
Practice Address - Fax:281-879-5333
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:OUTSOURCE 4 SURE INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-10-22
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL0722207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty