Provider Demographics
NPI:1285096693
Name:EXCELL HEALTH SYSTEM CORP
Entity type:Organization
Organization Name:EXCELL HEALTH SYSTEM CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:ABREU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-283-4579
Mailing Address - Street 1:1001 TEXAS ST
Mailing Address - Street 2:SUITE 1400
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-3126
Mailing Address - Country:US
Mailing Address - Phone:832-283-4579
Mailing Address - Fax:505-213-7783
Practice Address - Street 1:1001 TEXAS ST
Practice Address - Street 2:SUITE 1400
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-3126
Practice Address - Country:US
Practice Address - Phone:832-283-4579
Practice Address - Fax:505-213-7783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-24
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service