| Christline Healthcare Inc. | |
|
9711 S Mason Rd # 125-267 Richmond TX 77407-7167 | |
| (713) 909-6764 | |
| (248) 458-4571 |
| Full Name | Christline Healthcare Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 9711 S Mason Rd # 125-267, Richmond, Texas |
| Authorized Official Name and Position | Augustine Ukor (PRESIDENT) |
| Authorized Official Contact | 7139096764 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christline Healthcare Inc. 9711 S Mason Rd # 125-267 Richmond TX 77407-7167 Ph: (713) 909-6764 | Christline Healthcare Inc. 9711 S Mason Rd # 125-267 Richmond TX 77407-7167 Ph: (713) 909-6764 |
| NPI Number | 1720623192 |
|---|---|
| Provider Enumeration Date | 11/09/2019 |
| Last Update Date | 10/18/2021 |
| Medicare PECOS PAC ID | 6406289784 |
|---|---|
| Medicare Enrollment ID | O20191126002489 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720623192 | NPI | - | NPPES |
| 1144417106 | Other | OWNER NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| 363LG0600X | Nurse Practitioner - Gerontology | (* (Not Available)) | Secondary |
| Provider Name | Augustine Okechukwu Ukor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144417106 PECOS PAC ID: 8426326489 Enrollment ID: I20170615000215 |
| Provider Name | Chun Yiu Chow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356971907 PECOS PAC ID: 9931515046 Enrollment ID: I20210315001177 |
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