Provider Demographics
NPI:1932858867
Name:VOGUE CONSORTIUM LLC
Entity type:Organization
Organization Name:VOGUE CONSORTIUM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KAFAYAT
Authorized Official - Middle Name:
Authorized Official - Last Name:AYODELE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-222-5939
Mailing Address - Street 1:8307 ADLER LAKE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77083-5271
Mailing Address - Country:US
Mailing Address - Phone:888-222-5939
Mailing Address - Fax:772-905-0401
Practice Address - Street 1:8307 ADLER LAKE DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77083-5271
Practice Address - Country:US
Practice Address - Phone:888-222-5939
Practice Address - Fax:772-905-0401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-18
Last Update Date:2022-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No163WA2000XNursing Service ProvidersRegistered NurseAdministratorGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1942954912OtherNURSING LICENSE