Provider Demographics
NPI:1285752964
Name:BESSIE LEE ECTOR
Entity type:Organization
Organization Name:BESSIE LEE ECTOR
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ASST ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHELIA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:ROSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-306-9057
Mailing Address - Street 1:4625 N FREEWAY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77022
Mailing Address - Country:US
Mailing Address - Phone:713-691-8188
Mailing Address - Fax:713-692-4788
Practice Address - Street 1:4625 N FREEWAY
Practice Address - Street 2:SUITE 103
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77022
Practice Address - Country:US
Practice Address - Phone:713-691-8188
Practice Address - Fax:713-692-4788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2008-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX005820251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX005829OtherTEXAS DADS
TX001001267OtherTMHP