Provider Demographics
NPI:1588998751
Name:TRI-CARE HEALTH SERVICES
Entity type:Organization
Organization Name:TRI-CARE HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BEN
Authorized Official - Middle Name:
Authorized Official - Last Name:OSUJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-236-8093
Mailing Address - Street 1:9894 BISSONNET ST
Mailing Address - Street 2:#680
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8239
Mailing Address - Country:US
Mailing Address - Phone:281-236-8093
Mailing Address - Fax:713-271-6886
Practice Address - Street 1:9894 BISSONNET ST
Practice Address - Street 2:#680
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8239
Practice Address - Country:US
Practice Address - Phone:281-236-8093
Practice Address - Fax:713-271-6886
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-22
Last Update Date:2009-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health