Provider Demographics
NPI:1124856323
Name:ARYCLEM HEALTHCARE LLC
Entity type:Organization
Organization Name:ARYCLEM HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:ARINZECHUKWU
Authorized Official - Middle Name:
Authorized Official - Last Name:EZEBUILO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-866-8108
Mailing Address - Street 1:PO BOX 421886
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77242-1886
Mailing Address - Country:US
Mailing Address - Phone:832-788-9997
Mailing Address - Fax:
Practice Address - Street 1:11811 FRUTTETO CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-1520
Practice Address - Country:US
Practice Address - Phone:832-788-9997
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-22
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No343800000XTransportation ServicesSecured Medical Transport (VAN)