| Csj Provider Services Llc | |
|
7011 Harwin Dr Ste 196 Houston TX 77036-2121 | |
| (713) 242-8167 | |
| (832) 802-6648 |
| Full Name | Csj Provider Services Llc |
|---|---|
| Speciality | Dentist |
| Location | 7011 Harwin Dr Ste 196, Houston, Texas |
| Authorized Official Name and Position | Wenenda Shawn Okendu (ADMINSTRATOR) |
| Authorized Official Contact | 8325916836 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Csj Provider Services Llc 7011 Harwin Dr Ste 196 Houston TX 77036-2121 Ph: (713) 242-8167 | Csj Provider Services Llc 7011 Harwin Dr Ste 196 Houston TX 77036-2121 Ph: (713) 242-8167 |
| NPI Number | 1225808686 |
|---|---|
| Provider Enumeration Date | 01/08/2024 |
| Last Update Date | 01/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225808686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 251E00000X | Home Health | (* (Not Available)) | Secondary |
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