Provider Demographics
NPI:1851680292
Name:BRISTOW HEALTH CARE
Entity type:Organization
Organization Name:BRISTOW HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN CASEMANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHERNITA
Authorized Official - Middle Name:LESHE
Authorized Official - Last Name:EMANUEL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:713-516-1572
Mailing Address - Street 1:8109 CULLEN BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77051-2064
Mailing Address - Country:US
Mailing Address - Phone:713-516-1572
Mailing Address - Fax:281-599-9190
Practice Address - Street 1:8109 CULLEN BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77051
Practice Address - Country:US
Practice Address - Phone:713-516-1572
Practice Address - Fax:281-599-9190
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-06
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX662066251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management