Provider Demographics
NPI:1871921775
Name:CHIOCE PHYSICAL THERAPY CENTER, INC
Entity type:Organization
Organization Name:CHIOCE PHYSICAL THERAPY CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:OSAGIE
Authorized Official - Middle Name:OWEN
Authorized Official - Last Name:ODEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-623-2420
Mailing Address - Street 1:12807 ASHFORD MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77082-2136
Mailing Address - Country:US
Mailing Address - Phone:832-623-2420
Mailing Address - Fax:281-556-5591
Practice Address - Street 1:12807 ASHFORD MEADOW DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77082-2136
Practice Address - Country:US
Practice Address - Phone:832-623-2420
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-31
Last Update Date:2013-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251B00000X, 302R00000X
TX800633847302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
No302R00000XManaged Care OrganizationsHealth Maintenance Organization