Organization Name: | HON MULTIPURPOSE MEDICAL AND REHABILITATION CLINIC INC |
NPI Number: | 1164776993 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HUMPHREY M IHEJIRIKAH (PRESIDENT) |
Mailing Address: | 2440 Texas Pkwy Ste 245 Missouri City |
State: | TX US |
Postal Code: | 774894205 |
Phone Number: | 7138250310 |
Fax Number: | |
NPI Enumeration Date: | 10/31/2012 |
NPI Last Update Date: | 11/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | F7120 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |