Provider Demographics
NPI:1427255280
Name:DISCOVERY INTERNATIONAL
Entity type:Organization
Organization Name:DISCOVERY INTERNATIONAL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:J
Authorized Official - Last Name:KAYODE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-368-3577
Mailing Address - Street 1:11719 GREENCANYON DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77044-5100
Mailing Address - Country:US
Mailing Address - Phone:832-368-3577
Mailing Address - Fax:
Practice Address - Street 1:11719 GREENCANYON DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77044-5100
Practice Address - Country:US
Practice Address - Phone:832-368-3577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-27
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX001007312251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXH2T0005OtherCARE SYSTEM