Provider Demographics
NPI:1992989685
Name:ESTHER HEALTHCARE SYSTEM,INC
Entity type:Organization
Organization Name:ESTHER HEALTHCARE SYSTEM,INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:CHIBUTUTU
Authorized Official - Last Name:OFOR
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:713-699-1921
Mailing Address - Street 1:5400 PINEMONT DR STE 109
Mailing Address - Street 2:5400 PINEMONT DR. STE.109
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77092-3400
Mailing Address - Country:US
Mailing Address - Phone:713-699-1921
Mailing Address - Fax:713-699-1985
Practice Address - Street 1:5400 PINEMONT DR STE 109
Practice Address - Street 2:SUITE 109
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77092-3400
Practice Address - Country:US
Practice Address - Phone:713-699-1921
Practice Address - Fax:713-699-1985
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ESTHER HEALTHCARE SYSTEM,INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-12-18
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX800863930332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX6224890001Medicare NSC