Provider Demographics
NPI:1588278659
Name:PROCTOR STAFFING INC
Entity type:Organization
Organization Name:PROCTOR STAFFING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ADEBISI
Authorized Official - Middle Name:IDOWU
Authorized Official - Last Name:ONITIRI
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:832-406-1246
Mailing Address - Street 1:1 RIVERWAY STE 1700
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-1997
Mailing Address - Country:US
Mailing Address - Phone:832-406-1246
Mailing Address - Fax:
Practice Address - Street 1:1 RIVERWAY STE 1700
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-1997
Practice Address - Country:US
Practice Address - Phone:832-406-1246
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-04
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty