Provider Demographics
NPI:1306154497
Name:FULL POTENTIAL TUTORIAL AND SPECIAL EDUCATION SERVICES
Entity type:Organization
Organization Name:FULL POTENTIAL TUTORIAL AND SPECIAL EDUCATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHIKADIBIE
Authorized Official - Middle Name:
Authorized Official - Last Name:AMAGWULA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-539-1725
Mailing Address - Street 1:614 TEXAS PKWY
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-1234
Mailing Address - Country:US
Mailing Address - Phone:832-539-1725
Mailing Address - Fax:281-416-0445
Practice Address - Street 1:614 TEXAS PKWY
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-1234
Practice Address - Country:US
Practice Address - Phone:832-539-1725
Practice Address - Fax:281-416-0445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-22
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services