Provider Demographics
NPI:1215164199
Name:TEXAS CHOICE HEALTHCARE SERVICES INC
Entity type:Organization
Organization Name:TEXAS CHOICE HEALTHCARE SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR /OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:NNENNAYA
Authorized Official - Middle Name:EKAETTE
Authorized Official - Last Name:OJINGWA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-969-8378
Mailing Address - Street 1:5605 SPRING KNOLL CT
Mailing Address - Street 2:
Mailing Address - City:ROSHARON
Mailing Address - State:TX
Mailing Address - Zip Code:77583-2163
Mailing Address - Country:US
Mailing Address - Phone:281-969-8378
Mailing Address - Fax:281-431-2162
Practice Address - Street 1:5605 SPRING KNOLL CT
Practice Address - Street 2:
Practice Address - City:ROSHARON
Practice Address - State:TX
Practice Address - Zip Code:77583-2163
Practice Address - Country:US
Practice Address - Phone:281-969-8378
Practice Address - Fax:877-849-6234
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-17
Last Update Date:2019-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011364251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX74-7010Medicare PIN