Provider Demographics
NPI:1427312735
Name:MEDEX HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:MEDEX HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:UKONU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-595-8171
Mailing Address - Street 1:7007 BALLINGER RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-4058
Mailing Address - Country:US
Mailing Address - Phone:832-275-2814
Mailing Address - Fax:
Practice Address - Street 1:7007 BALLINGER RIDGE LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-4058
Practice Address - Country:US
Practice Address - Phone:832-275-2814
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-02
Last Update Date:2012-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health