Provider Demographics
NPI:1124269352
Name:KOKOU PIERRE MESSANH
Entity type:Organization
Organization Name:KOKOU PIERRE MESSANH
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KOKOU
Authorized Official - Middle Name:PIERRE
Authorized Official - Last Name:MESSANH
Authorized Official - Suffix:
Authorized Official - Credentials:ADMINISTRATOR
Authorized Official - Phone:713-589-2779
Mailing Address - Street 1:10101 FONDREN RD STE 253
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-4844
Mailing Address - Country:US
Mailing Address - Phone:713-589-2779
Mailing Address - Fax:713-429-5202
Practice Address - Street 1:10101 FONDREN RD STE 253
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096-4844
Practice Address - Country:US
Practice Address - Phone:713-589-2779
Practice Address - Fax:713-429-5202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-18
Last Update Date:2011-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3-20385-7849-1332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6386030001Medicare NSC