Provider Demographics
NPI:1871813436
Name:KIS MED CONCEPTS INC.
Entity type:Organization
Organization Name:KIS MED CONCEPTS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NGOZI
Authorized Official - Middle Name:IRENE
Authorized Official - Last Name:KANU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-271-8814
Mailing Address - Street 1:9894 BISSONNET ST
Mailing Address - Street 2:SUITE 100Q
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8239
Mailing Address - Country:US
Mailing Address - Phone:713-271-8814
Mailing Address - Fax:713-271-8807
Practice Address - Street 1:9894 BISSONNET ST
Practice Address - Street 2:SUITE 100Q
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8239
Practice Address - Country:US
Practice Address - Phone:713-271-8814
Practice Address - Fax:713-271-8807
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KIS MED CONCEPTS INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-06-07
Last Update Date:2010-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX012634251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health