Provider Demographics
NPI:1962429977
Name:V.N.J. TRIPLE STARS
Entity type:Organization
Organization Name:V.N.J. TRIPLE STARS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHEIF CONSULTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:VIC
Authorized Official - Middle Name:A
Authorized Official - Last Name:NWANKPAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-541-3819
Mailing Address - Street 1:9898 BISSONNET ST
Mailing Address - Street 2:SUITE 593
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8270
Mailing Address - Country:US
Mailing Address - Phone:832-541-3819
Mailing Address - Fax:713-484-5521
Practice Address - Street 1:9898 BISSONNET ST
Practice Address - Street 2:SUITE 593
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8270
Practice Address - Country:US
Practice Address - Phone:832-541-3819
Practice Address - Fax:713-484-5521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1219344332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX=========OtherEIN